PORTABLE IMAGING OF ARIZONA, LLC (NPI# 1215187570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215187570 |
| Entity Type | Organization |
| Organization Name | PORTABLE IMAGING OF ARIZONA, LLC |
| Practice Address |
2338 W Royal Palm Rd Suite A Phoenix AZ 85021-9339 |
| Mailing Address |
5538 Duncan Dr Las Vegas NV 89130-2812 |
| Practice Telephone | 6028643656 |
| Practice Fax Number | 6028643660 |
| Mailing Telephone | 7029396559 |
| Mailing Fax Number | 7029396570 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | ABBY GROSSA (CFO) |
| Authorized Official Telephone | 7029396559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 389820 | 05 | |
| AZ | AHCCES | 389820 | 01 |
| HEALTHCHOICE | 389820 | 01 |
| Street Address |
2338 W ROYAL PALM RD SUITE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-9339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659404176 | Portable X Ray of Arizona LLC | Radiology | 2338 W Royal Palm Rd, Phoenix, AZ 85021-9339 | 2007-03-13 |
| 1053615021 | Arizona Interventional Medical Group PC | Radiology | 2338 W Royal Palm Rd, Suite J, Phoenix, AZ 85021-9339 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093248270 | Scottsdale Mobile C Arm Services, LLC | Clinic/Center | 1934 E Camelback Rd # 120-301, Phoenix, AZ 85016-4110 | 2017-04-05 |
| 1740604719 | Southwest Mobile Mbs, LLC | Clinic/Center | 712 E Michigan Ave, Phoenix, AZ 85022-1194 | 2014-02-12 |
| 1083893390 | All Valley Imaging, LLC | Clinic/Center | 209 E Rose Ln, Phoenix, AZ 85012-1242 | 2007-11-02 |
| 1336234772 | Portable X Ray of Arizona LLC | Clinic/Center | 2338 West Royal Palm Drive, Phoenix, AZ 85021 | 2006-10-03 |
| 1629188842 | Bakorp LLC | Clinic/Center | 615 E Palo Verde Dr, Phoenix, AZ 85012-1331 | 2006-08-30 |
| 1427470426 | All Valley Imaging, LLC | Clinic/Center | 209 E Rose Ln, Phoenix, AZ 85012-1242 | 2014-01-09 |
| 1093041493 | Mobile Clinic John M Pierce Md Care2u | Clinic/Center | 4441 E Mcdowell Rd, Suite 101, Phoenix, AZ 85008-4503 | 2009-10-20 |
| 1538390737 | Shared Imaging LLC | Clinic/Center | 4212 N 16th St, Ct Scanner, Phoenix, AZ 85016-5319 | 2009-08-05 |
| 1649422973 | Sonoease Pllc | Clinic/Center | 7325 N 16th St, Phoenix, AZ 85020-5249 | 2008-10-17 |
| 1528219672 | Cellgenix Imaging Services of Phoenix LLC | Clinic/Center | 4540 E Cotton Gin Loop, Phoenix, AZ 85040-8887 | 2008-10-07 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.