SHARED IMAGING LLC (NPI# 1538390737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538390737 |
| Entity Type | Organization |
| Organization Name | SHARED IMAGING LLC |
| Practice Address |
4212 N 16th St Ct Scanner Phoenix AZ 85016-5319 |
| Mailing Address |
801 Phoenix Lake Ave Streamwood IL 60107-2363 |
| Practice Telephone | 8006060266 |
| Mailing Telephone | 8006060266 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MR. DAVID NEALLY (VICE PRESIDENT) |
| Authorized Official Telephone | 8006060266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
IL | Ambulatory Health Care Facilities | |
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 705566 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Shared Imaging LLC | 801 Phoenix Lake Ave, Streamwood, Illinois 60107 |
| Street Address |
4212 N 16TH ST CT SCANNER |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627648 | Judy Marie Pinsonneault | Family Medicine | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2005-05-27 |
| 1568071348 | Christopher Tran | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1659980480 | Corinne Easterling | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1598383192 | Tamika Howard | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-09 |
| 1659901544 | Joseph Maloy | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-01-20 |
| 1437709680 | Kymberly Sue Ludwig | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-18 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1427602721 | Jonathon Andrew Marquez | Respiratory Therapist, Certified | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-07-25 |
| 1700441664 | Douglas Edward Henry | Physical Therapist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-05-07 |
| 1982189205 | Rachael Renina Hunter Edwards | Psychologist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447389473 | Images for Health Corporation | Radiologic Technologist | 10240 W Indian School Rd, Ste #155, Phoenix, AZ 85037-5906 | 2007-03-05 |
| 1174674048 | Advanced Healthcare Resources Inc | Radiologic Technologist | 4212 N 16th St, Attn Ct Scanner, Phoenix, AZ 85016-5319 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952265 | Eli Asher Hawkins | Radiologic Technologist | 2820 Kiowa Blvd N Apt 102, Lake Havasu City, AZ 86404-1628 | 2017-03-07 |
| 1316394810 | Tracy Pike | Radiologic Technologist | 3600 W Orange Grove Rd # 164, Tucson, AZ 85741-2824 | 2016-05-16 |
| 1366652232 | Charles R Puett | Radiologic Technologist | 4541 S Silver Beech Ave, Tucson, AZ 85730-4030 | 2007-05-22 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1912209362 | Kenneth Tyrone Williams | Radiologic Technologist | 167 N Main St, Tuba City, AZ 86045 | 2010-11-17 |
| 1750524963 | Paul A Drake | Radiologic Technologist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2009-04-17 |
| 1437395605 | Jason C Boyd | Radiologic Technologist | 167 N. Main Street, Tuba City, AZ 86045 | 2008-12-18 |
| 1962665166 | Aaron Todd Carroll | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045 | 2008-07-08 |
Please comment or provide details below to improve the information on SHARED IMAGING LLC.
| 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.