OREGON ADVANCED IMAGING LLC NPI 1184883118

NPI Information

NPI: 1184883118
Provider Name: OREGON ADVANCED IMAGING, LLC
Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
545 MEDICAL CENTER DR
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 1184883118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

545 MEDICAL CENTER DR
MEDFORD, OR
ZIP 97504
Phone: (541) 773-8661
Fax: (541) 842-9206

The provider's authorized official is Lynette K Gundlach .
The authorized official title is Bookkeeper and has the following contact phone number (541) 608-8791.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

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	License Number	License State	Primary
1	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	100183	MEDICAID	OREGON
2	116573	MEDICARE PIN	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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