Active NPI
Silver Creek MRI LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Bullhead City, AZ
National Provider Identifier
1003094830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308118 | Medicaid | AZ |
Other names 1
- Silver Creek Open MRI
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.