Tri-State Medical Alliance LLC
NPI 1518472950 · Radiology Clinic/Center · Fort Mohave, AZ
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri-State Medical Alliance LLC is a Radiology Clinic/Center organization in Fort Mohave, AZ (NPI 1518472950).
Provider details
- NPI number
- 1518472950
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bing Lum, Member Manager(760) 326-7162
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physiological Laboratory293D00000X
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
817 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 112 | $186 |
| X-Ray of Chest, 2 Views71046 | 90 | $32 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 70 | $33 |
| X-Ray Lower and Sacral Spine, Minimum of 6 Views72114 | 58 | $59 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 45 | $184 |
| Mri Scan of Arm Joint Without Contrast73221 | 39 | $196 |
| X-Ray of Hip, 2-3 Views |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Frequently asked questions
- What is Tri-State Medical Alliance LLC's NPI number?
- Tri-State Medical Alliance LLC's National Provider Identifier (NPI) is 1518472950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri-State Medical Alliance LLC?
- Tri-State Medical Alliance LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tri-State Medical Alliance LLC located?
- Tri-State Medical Alliance LLC's practice location on file with NPPES is 1510 E Wagon Wheel Ln Ste 103, Fort Mohave, AZ 86426-6698.
- What is Tri-State Medical Alliance LLC's phone number?
- The practice phone number listed in the NPPES registry for Tri-State Medical Alliance LLC is (928) 460-7226.
- Does Tri-State Medical Alliance LLC accept Medicare?
- Tri-State Medical Alliance LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tri-State Medical Alliance LLC?
- The authorized official listed on Tri-State Medical Alliance LLC's NPPES record is Bing Lum, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri-State Medical Alliance LLC's NPI active?
- Yes — Tri-State Medical Alliance LLC's NPI (1518472950) is active in the NPPES registry as of the last update on 2026-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.