Mobile on-Site Mammography, Inc.

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

MOBILE ON-SITE MAMMOGRAPHY, INC.

Practice address

2005 W 14TH St
Suite 134
Tempe, AZ 85281-6925

Phone

(480) 967-3767

Fax

(480) 967-3787

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matthew Ward

Title

President

Phone

(541) 955-4539

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1972518652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280063",
            "telephone_number": "541-955-4539",
            "fax_number": "541-474-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W 14TH ST",
            "address_2": "SUITE 134",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816925",
            "telephone_number": "480-967-3767",
            "fax_number": "480-967-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ON-SITE MAMMOGRAPHY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-955-4539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.