MID ROGUE IMAGING CENTER NPI 1952730871

NPI Information

MID ROGUE IMAGING CENTER is a radiology clinic center in Grants Pass, OR. MID ROGUE IMAGING CENTER NPI is 1952730871. The provider is registered as an organization entity type.

The provider's business location address is:

1619 NW HAWTHORNE AVE STE 102
GRANTS PASS, OR
ZIP 97526-008
Phone: (541) 472-5154
Fax: (541) 472-5178

The provider's authorized official is Susan J Scheufele .
The authorized official title is President and has the following contact phone number (541) 472-5754.

The CLIA number assigned to this NPI record is 38D2140976 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2013 and was last updated on 11/1/2013.

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:

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