PREMIER MOUNTAIN IMAGING CENTER
NPI 1184302002
Clinic/Center - Magnetic Resonance Imaging (MRI) in Lakeside, AZ
About Premier Mountain Imaging Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER MOUNTAIN IMAGING CENTER (NPI 1184302002) is a healthcare organization registered as a magnetic resonance imaging (mri) in Lakeside, Arizona and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Rakesh Pahwa, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Mountain Imaging Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Premier Mountain Imaging Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2303061
Premier Mountain Imaging · Lakeside, AZPatient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Roger ***** April 14, 2026
5/5Frequently 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 Premier Mountain Imaging Center's NPI number?
The NPI number for Premier Mountain Imaging Center is 1184302002. It was assigned to this organization in the NPPES registry on July 10, 2023.
Where is Premier Mountain Imaging Center located?
Premier Mountain Imaging Center is located at 5448 White Mountain Blvd Ste 110, Lakeside, AZ 85929. The listed phone number is (888) 488-2702.
What is Premier Mountain Imaging Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.
Is Premier Mountain Imaging Center enrolled in Medicare?
Yes. Premier Mountain Imaging Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Mountain Imaging Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Premier Mountain Imaging Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premier Mountain Imaging Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2303061) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premier Mountain Imaging Center accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Premier Mountain Imaging Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premier Mountain Imaging Center was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Premier Mountain Imaging Center · NPI 1184302002
Magnetic Resonance Imaging (MRI) organization in Lakeside, Arizona. Organization record, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1184302002 (Entity type: Organization)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Clinic/Center - Magnetic Resonance Imaging (MRI) · taxonomy 261QM1200X
- **Also known as:** Premier Mountain Imaging Center (Other Name)
- **Organization subpart:** No
- **Authorized official:** Rakesh Pahwa, OWNER
## Practice location
- **Address:** 5448 WHITE MOUNTAIN BLVD STE 110, Lakeside, AZ 85929-5736
- **Phone:** (888) 488-2702 · **Fax:** (888) 235-9876
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184302002) · Data from the CMS NPPES public registry.