Organization Active NPI

Silver Creek MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Bullhead City, AZ
National Provider Identifier
1003094830
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SILVER CREEK MRI LLC
Practice address
1245 Hancock Rd
Suite B
Bullhead City, AZ 86442-5940
Phone
(928) 704-8971
NPI assigned
Feb 4, 2008
Organization subpart
Yes
Parent organization
SILVER CREEK MRI LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sophia Arwood
Title
Director
Phone
(615) 628-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1245 Hancock Rd
Suite B
Bullhead City, AZ 86442-5940

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Other identifiers 1

IdentifierTypeStateIssuer
308118MedicaidAZ

Other names 1

  • Silver Creek Open MRI Doing business as

National Provider Directory

National Provider Directory
Part of
Silver Creek MRI LLC

Locations

1245 Hancock Rd
Ste B
Bullhead City, AZ 86442
Phone (928) 704-8971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1003094830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HANCOCK RD",
            "address_2": "SUITE B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425940",
            "telephone_number": "928-704-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK MRI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER CREEK MRI LLC",
        "enumeration_date": "2008-02-04",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.