CENTER FOR OUPATIENT IMAGING, L.L.C. (NPI# 1568426518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426518 |
| Entity Type | Organization |
| Organization Name | CENTER FOR OUPATIENT IMAGING, L.L.C. |
| Practice Address |
1425 S Greenfield Rd Suite 102 Mesa AZ 85206-5505 |
| Practice Telephone | 4803248033 |
| Practice Fax Number | 4803248038 |
| Mailing Telephone | 4803248033 |
| Mailing Fax Number | 4803248038 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GRANT NELSON (ADMINISTRATOR) |
| Authorized Official Telephone | 4803248033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QR0200X |
Clinic/Center Specialization: Radiology |
AZ | Ambulatory Health Care Facilities | |
| X | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS ID | 0717920 | 01 |
| AZ | 724874 | 05 | |
| AZ | HEALTH NET | 2Z0812 | 01 |
| Street Address |
1425 S GREENFIELD RD SUITE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669921524 | Corey Wayne Deberry-seguine | Physician Assistant | 1425 S Greenfield Rd, Suite #101, Mesa, AZ 85206-5529 | 2016-10-03 |
| 1265803092 | Daniel Ballard | Physician Assistant | 1425 S Greenfield Rd, Mesa, AZ 85206-5529 | 2015-10-20 |
| 1891109682 | Emily Hall | Dentist | 1425 S Greenfield Rd, Bldg 2, Ste 110, Mesa, AZ 85206-5529 | 2014-06-19 |
| 1053631309 | An Elegant Smile P.C. | Dentist | 1425 S Greenfield Rd, Bldg 2 Ste 110, Mesa, AZ 85206-5529 | 2010-06-09 |
| 1609105204 | Jonathan Natividad Jarvina | Internal Medicine | 1425 S Greenfield Rd, #101, Mesa, AZ 85206-5529 | 2009-12-10 |
| 1184630758 | Idenise Cabanas | Physician Assistant | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-08-01 |
| 1538183413 | Dalenor R. Halls | Physician Assistant | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-26 |
| 1972538569 | Robert J Allen | Family Medicine | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-11 |
| 1215960638 | Deseret Family Practice, Ltd. | Chiropractor | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-09 |
| 1194758524 | David J Farnsworth | Chiropractor | 1425 S Greenfield Rd, 101, Mesa, AZ 85206-5529 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704610 | Imaging Advanced Consultants LLC | Clinic/Center | 4566 E Inverness Ave Ste 102, Mesa, AZ 85206-4633 | 2018-09-20 |
| 1265569651 | Choice Medical Imaging Inc | Clinic/Center | 2919 S Ellsworth Rd Ste 101, Mesa, AZ 85212-2165 | 2007-02-27 |
| 1649368515 | Desert Valley Radiology, Plc | Clinic/Center | 5424 E. Southern Ave., Ste. 101, Mesa, AZ 85206-3621 | 2006-10-10 |
| 1164434098 | East Valley Diagnostic Imaging LLC | Clinic/Center | 1125 E. Southern Ave, Ste 200, Mesa, AZ 85204-5046 | 2006-08-12 |
| 1639133663 | Arizona Diagnostic Imaging | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2006-04-14 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1629292479 | Lonestar Diagnostic | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2007-04-12 |
| 1780696609 | Associated Radiologists Ltd | Clinic/Center | 1125 E Southern Ave, Suite 200, Mesa, AZ 85204-5045 | 2006-08-12 |
| 1568474401 | Desert Open Mri LLC | Clinic/Center | 1125 E Southern Ave, Suite 200, Mesa, AZ 85204-5045 | 2006-08-12 |
| 1124078431 | Arizona Advanced Imaging Center LLC | Clinic/Center | 4566 E Inverness Ave, Suite 102, Mesa, AZ 85206-4633 | 2006-05-10 |
| Find all providers in MESA | ||||
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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.