Community MRI Services, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

COMMUNITY MRI SERVICES, LLC

Practice address

1252 Washington Ave
Detroit Lakes, MN 56501-3928

Phone

(218) 847-6316

Fax

(218) 847-6303

NPI assigned

Jul 22, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Hofer Sr.

Title

President

Phone

(701) 297-0305

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Community MRI Services, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Norfolk, NE
  • NPI 1386658052

  4880599091

  Same PAC ID

Tax ID family

Community MRI Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Community MRI Services, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Norfolk, NE
  • NPI 1386658052
  NPD tax ID
• Community MRI Services, LLC

  dba OMNI Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Billings, MT
  • NPI 1598033755
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Community MRI Services, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Minot AFB, ND
  • NPI 1902852973

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Louis Singer, D.C.

  • Orthopedic Chiropractor
  • Detroit Lakes, MN
  • NPI 1265572127
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1023039278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 32ND AVENUE S",
            "address_2": "SUITE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036278",
            "telephone_number": "701-297-0305",
            "fax_number": "701-235-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013928",
            "telephone_number": "218-847-6316",
            "fax_number": "218-847-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MRI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "HOFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-297-0305",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BCBS",
            "identifier": "269M3CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650069200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1602881",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1026467",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "141965700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Christensen, DNP FNP-BC PMHNP-BC
• Barbara J. Chromy, LPCC, NCC, CEAP, SAP
• Alexis Virginia Cigelske
• Farrah Clark
• Clear Sky Wellness, PLLC
• Compass Counseling Center PLLC
• Compassion House
• Bruce P Conmy, MD
• Francis Cormier, MD
• Nicole Marie Cox, D.O.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.