Organization Active NPI

MRI Center LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Helena, MT
National Provider Identifier
1003906413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
1019 Issued in MT
Legal business name
MRI CENTER LLC
Practice address
3510 Ptarmigan LN
Helena, MT 59602-0553
Phone
(406) 449-3750
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack H Avery, RT R MRI QM CT
Title
Director Owner
Phone
(406) 449-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X 1019 MT Primary

Addresses

Primary practice location

3510 Ptarmigan LN
Helena, MT 59602-0553

Mailing address

3510 Ptarmigan LN
Helena, MT 59602-0553
Phone (406) 449-3750

Other identifiers 1

IdentifierTypeStateIssuer
0760123MedicaidMT

Other names 1

  • Montana Regional Imaging Center LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3510 Ptarmigan Ln
Helena, MT 59602
Phone (406) 449-3750

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003906413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020553",
            "telephone_number": "406-449-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020553",
            "telephone_number": "406-449-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "406-449-3750",
        "authorized_official_credential": "RT R MRI QM CT"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "MT",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760123",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montana Regional Imaging Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.