NPIMap

Organization Active NPI

Open MRI of Michigan

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Madison Heights, MI
National Provider Identifier
1063605848
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
OPEN MRI OF MICHIGAN
Practice address
411 W 13 Mile Rd
Suite 200
Madison Heights, MI 48071-1536
Phone
(248) 585-4569
Fax
(248) 585-4620
NPI assigned
Aug 24, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Jennifer Johnson
Title
Director
Phone
(586) 228-4560

Specialties & licenses 1

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

Addresses

Primary practice location

411 W 13 Mile Rd
Suite 200
Madison Heights, MI 48071-1536

Mailing address

43750 Garfield Rd
Suite 211
Clinton Township, MI 48038-1135
Phone (877) 996-9975

Other identifiers 1

IdentifierTypeStateIssuer
0F30087OtherMIBCBSM GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1063605848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43750 GARFIELD RD",
            "address_2": "SUITE 211",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381135",
            "telephone_number": "877-996-9975",
            "fax_number": "586-228-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 13 MILE RD",
            "address_2": "SUITE 200",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711536",
            "telephone_number": "248-585-4569",
            "fax_number": "248-585-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-228-4560"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "0F30087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.