PORTABLE X RAY OF ARIZONA LLC NPI 1659404176

NPI Information

NPI: 1659404176
Provider Name: PORTABLE X RAY OF ARIZONA LLC
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
2338 W ROYAL PALM RD
PHOENIX, AZ
ZIP 85021
Phone: (602) 864-3656
Get Directions

PORTABLE X RAY OF ARIZONA LLC is a diagnostic ultrasound radiology in Phoenix, AZ. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. PORTABLE X RAY OF ARIZONA LLC NPI is 1659404176. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2338 W ROYAL PALM RD
PHOENIX, AZ
ZIP 85021-339
Phone: (602) 864-3656
Fax: (602) 864-3660

The provider's authorized official is Abby Grossa .
The authorized official title is Cfo and has the following contact phone number (702) 395-5011.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	579055	OTHER	ARIZONA	AHCCS
2	2Z1598	OTHER	ARIZONA	HEALTH NET
3	AW2888	OTHER	ARIZONA	HEALTHNET
4	AZ0890990	OTHER	ARIZONA	BLUE CROSS BLUE SHILED OF
5	Z67270	MEDICARE PIN	ARIZONA
6	579055	OTHER	ARIZONA	HEALTHCHOICE
7	F10081	OTHER	ARIZONA	PHOENIX HEALTH PLAN
8	67270	OTHER	ARIZONA	SCAN
9	579055	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »