Medford Open Imaging, LLC

Primary specialty

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

Legal business name

MEDFORD OPEN IMAGING, LLC

Doing business as

Medford Open MRI, LLC

Practice address

1174 Progress Dr
Suite 101
Medford, OR 97504-4994

Phone

(541) 857-8563

NPI assigned

Sep 2, 2006

Last updated

Jul 24, 2008By 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 D Freeman, PHD DC MPHNPI 1558412080

Title

Owner

Phone

(503) 586-0153

Specialties & licenses 1

Addresses

Other names 1

• Medford Open MRI, LLC Doing business as

Locations

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.

• Michael David Freeman, DC

  • Chiropractor
  • Salem, OR
  • NPI 1558412080
  NPD (past) Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1033211867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LIBERTY ST NE",
            "address_2": "SUITE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013586",
            "telephone_number": "503-586-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 PROGRESS DR",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044994",
            "telephone_number": "541-857-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD OPEN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-586-0153",
        "authorized_official_credential": "PHD DC MPH"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Open MRI, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.