OREGON ADVANCED IMAGING LLC NPI 1083688402

NPI Information

NPI: 1083688402
Provider Name: OREGON ADVANCED IMAGING LLC
Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
881 OHARE PKWY
MEDFORD, OR
ZIP 97504
Phone: (541) 773-8661
Get Directions

OREGON ADVANCED IMAGING LLC is a magnetic resonance imaging radiologic technologist in Medford, OR. OREGON ADVANCED IMAGING LLC NPI is 1083688402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

881 OHARE PKWY
MEDFORD, OR
ZIP 97504-005
Phone: (541) 773-8661
Fax: (541) 842-9206

The provider's authorized official is Philip Frank Benedetti .
The authorized official title is Medical Director-board Member and has the following contact phone number (541) 282-6636.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 6/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2471C3401X	Radiologic Technologist	Computed Tomography	No
2	2471N0900X	Radiologic Technologist	Nuclear Medicine Technology	No
3	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	133462	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	100183	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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