PREMIER OPEN MRI INC. NPI 1457343204

NPI Information

  • NPI: 1457343204
  • Provider Name: PREMIER OPEN MRI, INC.
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 17D2015434
  • Address: 500 S MAIN ST
    WICHITA, KS
    ZIP 67202
  • Phone: (316) 262-1103

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NPI Details

PREMIER OPEN MRI, INC. is a radiology clinic center in Wichita, KS. PREMIER OPEN MRI, INC. NPI is 1457343204. The provider is registered as an organization entity type.

The provider's business location address is:

500 S MAIN ST
WICHITA, KS
ZIP 67202-722
Phone: (316) 262-1103
Fax: (316) 262-1203

The provider's authorized official is Toni Cooper .
The authorized official title is Delegated Official and has the following contact phone number (754) 206-6198.

The CLIA number assigned to this NPI record is 17D2015434 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoteridol, (prohance multipack), per ml (HCPCS:A9576)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of arm without contrast (HCPCS:73218)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of head or brain before and after contrast (HCPCS:70470)
  • 3d radiographic procedure (HCPCS:76376)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Complete ultrasound scan of abdomen (HCPCS:76700)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 11/10/2023.

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
1261QR0200XClinic/CenterRadiologyYes

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
1100316860AMEDICAIDKANSAS

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: 11/21/2025

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