OREGON ADVANCED IMAGING, LLC (NPI# 1134416464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134416464 |
| Entity Type | Organization |
| Organization Name | OREGON ADVANCED IMAGING, LLC |
| Practice Address |
881 Ohare Pkwy Medford OR 97504-4005 |
| Mailing Address |
Po Box 1527 Medford OR 97501-0114 |
| Practice Telephone | 5416088791 |
| Practice Fax Number | 5416080376 |
| Mailing Telephone | 5416088791 |
| Mailing Fax Number | 5416080376 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | MRS. LYNETTE K GUNDLACH (COMPTROLLER) |
| Authorized Official Telephone | 5416088791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831358860 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 1107 Crater Lake Ave, Medford, OR 97504-6241 | 2008-06-05 |
| 1184883118 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 545 Medical Center Dr, Medford, OR 97504 | 2008-06-05 |
| 1689919573 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 870 S Front St, Central Point, OR 97502-2779 | 2012-12-03 |
| 1306133632 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 1107 Crater Lake Ave, Medford, OR 97504-6241 | 2011-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON ADVANCED IMAGING, LLC | 881 O'hare Pkwy, Medford, OR 97504 |
| Street Address |
881 OHARE PKWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688402 | Oregon Advanced Imaging LLC | Radiologic Technologist | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2006-02-14 |
| 1598081028 | Rahim Fazel | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2010-04-08 |
| 1952543373 | Zachary Rice Heeter | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2009-03-31 |
| 1619996766 | Shannon David Crawford | Specialist | 881 Ohare Pkwy, 5416226333, Medford, OR 97504-4005 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831358860 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 1107 Crater Lake Ave, Medford, OR 97504-6241 | 2008-06-05 |
| 1184883118 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 545 Medical Center Dr, Medford, OR 97504 | 2008-06-05 |
| 1306133632 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 1107 Crater Lake Ave, Medford, OR 97504-6241 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417135880 | East Linn Mri, LLC | Radiologic Technologist | 505 N Santiam Highway, Lebanon, OR 97355-4363 | 2008-02-07 |
| 1952529620 | Corvallis Mri A Joint Venture | Radiologic Technologist | 3615 Nw Samaritan Drive, Suite 101, Corvallis, OR 97330-3737 | 2007-04-20 |
| 1104167469 | Bend Mri LLC | Radiologic Technologist | 2421 Ne Doctors Dr, Bend, OR 97701-6031 | 2013-03-12 |
| 1689919573 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 870 S Front St, Central Point, OR 97502-2779 | 2012-12-03 |
| 1467744755 | Todd Leroy Myers | Radiologic Technologist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2011-05-05 |
| 1255479655 | Darrell Hafer | Radiologic Technologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-02-01 |
| 1730160540 | Oregon Open Mri | Radiologic Technologist | 1100 Southgate, Ste 8, Pendleton, OR 97801-3974 | 2005-11-09 |
Please comment or provide details below to improve the information on OREGON ADVANCED IMAGING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.