TRI-STATE MEDICAL ALLIANCE LLC
NPI 1518472950
Clinic/Center - Radiology in Fort Mohave, AZ

Active since December 07, 2017
1510 E WAGON WHEEL LN STE 103, FORT MOHAVE, AZ 86426(928) 460-7226(928) 447-6113 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 3, 2023, Mar 27, 2023, Dec 7, 2022 and 3 more (6 updates tracked since 2017).

About Tri-state Medical Alliance Llc NPPES

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

TRI-STATE MEDICAL ALLIANCE LLC (NPI 1518472950) is a healthcare organization registered as a radiology in Fort Mohave, Arizona and active in the NPI registry since December 2017. The organization lists Bing Lum, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1518472950
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTRI-STATE MEDICAL ALLIANCE LLC
Location Address1510 E WAGON WHEEL LN STE 103Fort Mohave, AZ 86426-6698
Mailing Address1510 E Wagon Wheel Ln Ste 103Fort Mohave, AZ 86426-6698 · (928) 460-7226 · Fax (928) 447-6113
Fax(928) 447-6113
Organization SubpartNo
Authorized OfficialBing LumMember Manager · (760) 326-7162
Enumeration DateDecember 7, 2017
Last NPPES UpdateFebruary 26, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1518472950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
1510 E WAGON WHEEL LN STE 103, Fort Mohave, AZ 86426

Other Identifiers 2

OtherL22382013AZ · Corporation Id#
Medicaid557885AZ

Accepted Insurance

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
112 services108 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
90 services79 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
70 services56 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
58 services58 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
45 services45 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
39 services38 patients

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 Tri-State Medical Alliance LLC's NPI number?

The NPI number for Tri-State Medical Alliance LLC is 1518472950. It was assigned to this organization in the NPPES registry on December 7, 2017.

Where is Tri-State Medical Alliance LLC located?

Tri-State Medical Alliance LLC is located at 1510 E Wagon Wheel Ln Ste 103, Fort Mohave, AZ 86426. The listed phone number is (928) 460-7226.

What is Tri-State Medical Alliance LLC's specialty?

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

What insurance does Tri-State Medical Alliance LLC accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Tri-State Medical Alliance LLC 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 Tri-State Medical Alliance LLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.