Provider Demographics
NPI:1780790576
Name:AMERICAN MEDICAL IMAGING INC
Entity type:Organization
Organization Name:AMERICAN MEDICAL IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CATANIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-262-9870
Mailing Address - Street 1:2756 N GREEN VALLEY PKWY
Mailing Address - Street 2:SUITE 217
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-262-9870
Mailing Address - Fax:702-262-9871
Practice Address - Street 1:1517 E AZTEC LN
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426
Practice Address - Country:US
Practice Address - Phone:928-704-4464
Practice Address - Fax:928-704-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA462582085R0202X
NV63302085R0202X
AZ220242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMD22024Medicare ID - Type Unspecified
E50620Medicare UPIN