SURGICAL SPECIALTY IMAGING LLC (NPI# 1669520268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669520268 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALTY IMAGING LLC |
| Other Organization Name | CAMELBACK SPECIALTY IMAGING |
| Practice Address |
6501 N 19th Ave Ste A Phoenix AZ 85015-1646 |
| Mailing Address |
26250 Enterprise Ct Ste 100 Lake Forest CA 92630-8406 |
| Practice Telephone | 6023144280 |
| Practice Fax Number | 6023144289 |
| Mailing Telephone | 9492826000 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN G. DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR) |
| Authorized Official Telephone | 9492826000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Camelback Specialty Imaging | Doing Business As Name - Organization |
| Street Address |
6501 N 19TH AVE STE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881295 | Surgical Specialty Hospital of Arizona, LLC | Special Hospital | 6501 N 19th Ave, Phoenix, AZ 85015-1646 | 2005-12-09 |
| 1982205944 | Delphine Valentin | Nurse Practitioner | 6501 N 19th Ave, Phoenix, AZ 85015-1646 | 2020-11-05 |
| 1114273554 | David J Cohen Md Pllc | Radiology | 6501 N 19th Ave, Radiology Dept., Phoenix, AZ 85015 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932435526 | Insight Health Corp. | Physiological Laboratory | 5040 N. 15th Ave., Suite 101, Phoenix, AZ 85015-3328 | 2009-11-02 |
| 1598891582 | Health Care Imaging Inc | Physiological Laboratory | 202 E Earll Dr Ste 190, Phoenix, AZ 85012 | 2007-02-26 |
| 1659330710 | Insight Health Corp | Physiological Laboratory | 2921 N 18th Pl, Phoenix, AZ 85016-7705 | 2006-03-18 |
| 1336114198 | Insight Health Corp | Physiological Laboratory | 1848 E Thomas Rd, Phoenix, AZ 85016-8112 | 2006-02-22 |
| 1659828762 | Beyond Reps, Inc. | Physiological Laboratory | 2999 N 44th St, Suite 145, Phoenix, AZ 85018-7246 | 2016-09-07 |
| 1932518057 | Arterial Health of Az, LLC | Physiological Laboratory | 40 N Central Ave, Suite 1400, Phoenix, AZ 85004-4424 | 2014-08-04 |
| 1538573647 | Schryver Medical Sales and Marketing, LLC | Physiological Laboratory | 5050 S 40th St, Phoenix, AZ 85040-2902 | 2014-06-17 |
| 1407029929 | Insight Health Corp | Physiological Laboratory | 5040 N 15th Ave, Mobile Unit, Phoenix, AZ 85015-3328 | 2008-04-04 |
| 1821067240 | Insight Health Corp | Physiological Laboratory | 690 N Cofco Center Ct, Ste 130, Phoenix, AZ 85008-6462 | 2006-03-16 |
| 1902875321 | Insight Health Corp | Physiological Laboratory | 5040 N 15th Ave, Suite 401, Phoenix, AZ 85015-3328 | 2006-03-16 |
| 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.