SUNRISE MEDICAL DIAGNOSTIC, INC
NPI 1609834159
Physiological Laboratory in Sun City, AZ

Active since May 03, 2006
12611 N 103RD AVE, STE # G, SUN CITY, AZ 85351(623) 972-4125(623) 972-0265 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Medical Diagnostic, Inc NPPES

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

SUNRISE MEDICAL DIAGNOSTIC, INC (NPI 1609834159) is a healthcare organization registered as a physiological laboratory in Sun City, Arizona and active in the NPI registry since May 2006. The organization lists Marina Kokhan, President, as its authorized official.

NPPES Registry Identity

NPI1609834159
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameSUNRISE MEDICAL DIAGNOSTIC, INC
Location Address12611 N 103RD AVE, STE # GSun City, AZ 85351-3422
Mailing Address12611 N 103rd Ave, Ste # GSun City, AZ 85351-3422 · (623) 972-4125 · Fax (623) 972-0265
Fax(623) 972-0265
Organization SubpartNo
Authorized OfficialMarina KokhanPresident · (623) 972-4125
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609834159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
12611 N 103RD AVE, Sun City, AZ 85351

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Adult Mental Health)
12611 N 103RD AVE
SUN CITY, AZ 85351
Durable Medical Equipment & Medical Supplies
12611 N 103RD AVE, SUITE 'D'
SUN CITY, AZ 85351
Acupuncturist
12611 N 103RD AVE, SUITE A
SUN CITY, AZ 85351

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 Sunrise Medical Diagnostic, Inc's NPI number?

The NPI number for Sunrise Medical Diagnostic, Inc is 1609834159. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Sunrise Medical Diagnostic, Inc located?

Sunrise Medical Diagnostic, Inc is located at 12611 N 103rd Ave Ste # G, Sun City, AZ 85351. The listed phone number is (623) 972-4125.

What is Sunrise Medical Diagnostic, Inc's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Sunrise Medical Diagnostic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.