OrganizationActive
Imaging Advanced Consultants LLC
NPI 1144704610 · Magnetic Resonance Imaging (MRI) Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1144704610
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jez Clark, Owner(408) 231-4853
Specialties & taxonomies
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Practice location
4566 E Inverness Ave Ste 102
Mesa, AZ 85206-4633
Phone: (214) 295-6703
Fax: (214) 245-5267
Approximate (ZIP-level) locationGet directions
Mailing address
2853 E La Costa Dr
Gilbert, AZ 85298-2802
Registry dates
- Enumerated
- 2018-09-20
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.