Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHEAST X-RAY LLC
NPI 1154565802
Clinic/Center - Radiology in Phoenix, AZ

Active since April 24, 2009
22601 N 19TH AVE STE 108, PHOENIX, AZ 85027(480) 369-1270 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Apr 23, 2026 (2 updates tracked since 2026).

About Southeast X-ray Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST X-RAY LLC (NPI 1154565802) is a healthcare organization registered as a radiology in Phoenix, Arizona and active in the NPI registry since April 2009. The organization lists Robert Scott Thornock, Chief Strategy Officer, as its authorized official.

NPPES Registry Identity

NPI1154565802
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameSOUTHEAST X-RAY LLC
Location Address22601 N 19TH AVE STE 108Phoenix, AZ 85027-1324
Mailing Address22601 N 19th Ave Ste 108Phoenix, AZ 85027-1324
Organization SubpartNo
Authorized OfficialRobert Scott ThornockChief Strategy Officer · (480) 369-1270
Enumeration DateApril 24, 2009
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1154565802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
22601 N 19TH AVE STE 108, Phoenix, AZ 85027

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
22601 N 19TH AVE STE 108
PHOENIX, AZ 85027
Clinic/Center (Radiology)
22601 N 19TH AVE STE 108
PHOENIX, AZ 85027
Clinic/Center (Radiology)
22601 N 19TH AVE STE 108
PHOENIX, AZ 85027
Clinic/Center (Radiology)
22601 N 19TH AVE STE 108
PHOENIX, AZ 85027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast X-Ray LLC's NPI number?

The NPI number for Southeast X-Ray LLC is 1154565802. It was assigned to this organization in the NPPES registry on April 24, 2009.

Where is Southeast X-Ray LLC located?

Southeast X-Ray LLC is located at 22601 N 19th Ave Ste 108, Phoenix, AZ 85027. The listed phone number is (480) 369-1270.

What is Southeast X-Ray LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Southeast X-Ray LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.