INLAND IMAGING ARIZONA LLC


Address: 2940 East Banner Gateway Drive, Ste 150, Giblert, AZ 85234
Phone: 5097474455

INLAND IMAGING ARIZONA LLC (NPI# 1518087345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518087345
Entity Type Organization
Organization Name INLAND IMAGING ARIZONA LLC
Practice Address 2940 East Banner Gateway Drive, Ste 150
Giblert
AZ 85234
Mailing Address 2940 E. Banner Gateway Drive, Ste 150
Gilbert
AZ 85234
Practice Telephone 5097474455
Practice Fax Number 5093637064
Mailing Telephone 6025091059
Enumeration Date 2007-03-29
Last Update Date 2020-08-22
Authorized Official Name STEPHEN SELF (CEO)
Authorized Official Telephone 6025091059
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
X 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
X 2085N0700X Radiology
Specialization: Neuroradiology
Allopathic & Osteopathic Physicians
X 2085N0904X Radiology
Specialization: Nuclear Radiology
Allopathic & Osteopathic Physicians
X 2085P0229X Radiology
Specialization: Pediatric Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 2940 EAST BANNER GATEWAY DRIVE, STE 150
City GIBLERT
State AZ
Zip Code 85234

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1891262887 Victoria Elizabeth Klennertt Behavior Technician 3503 E Michelle Way, Gilbert, AZ 85234 2018-10-27
1225503634 Julia Elizabeth Wiens Social Worker 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 2018-10-11
1295219798 Raylene Dawn Cargiulo Registered Nurse 55 S. Greenfield Rd., Gilbert, AZ 85234 2018-09-20
1346729092 Katherine M Winegar Nurse Practitioner Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 2018-08-13
1881189199 Desert Valley Oral Surgery Oral & Maxillofacial Surgery 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 2018-06-28
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1902305899 Sonoran Skin Cancer Treatment Centers, LLC Radiology 1425 Greenfield Road, Mesa, AZ 85206 2018-02-06
1811307333 Joshua R Niska Radiology Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2014-05-06
1053731356 Andrew Orton Radiology 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 2014-04-24
1346668514 Ashley Ann Albert Radiology 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 2014-04-03
1174953913 Sung Ae Lee Radiology 820 W. Ravina Lane, Anthem, AZ 85086 2013-11-14
1366726788 Vershalee Shukla Radiology 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 2011-10-04
1194988204 David Thomas Vonk Radiology 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 2008-07-08
1679767768 Simul D Parikh Radiology Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2007-08-31
1457561086 Kurt Andrew Wharton Radiology 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 2007-05-23
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Competitor

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City GIBLERT
Zip Code 85234

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Dataset Information

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.

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