BLACK MESA MEDICAL LLC NPI 1932449238

NPI Information

NPI: 1932449238
Provider Name: BLACK MESA MEDICAL LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
20701 N SCOTTSDALE RD
#107240
SCOTTSDALE, AZ
ZIP 85255
Phone: (602) 677-2712
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BLACK MESA MEDICAL LLC is a diagnostic radiology radiology in Scottsdale, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLACK MESA MEDICAL LLC NPI is 1932449238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20701 N SCOTTSDALE RD
#107240
SCOTTSDALE, AZ
ZIP 85255-413
Phone: (602) 677-2712

The provider's authorized official is Martin B Ainbinder .
The authorized official title is President and has the following contact phone number (602) 677-2712.

The enumeration date for this NPI number is 2/22/2013 and was last updated on 2/22/2013.

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	2085R0202X	Radiology	Diagnostic Radiology	33774	ARIZONA	Yes

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

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