NPIMap

Organization Active NPI

Crestview Open MRI Inc

  • Radiology Clinic/Center
  • Crestview, FL
National Provider Identifier
1073569166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
000439 Issued in FL
Legal business name
CRESTVIEW OPEN MRI INC
Practice address
194 E Redstone Ave
Ste. a
Crestview, FL 32539-5348
Phone
(850) 689-6705
NPI assigned
May 26, 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
Sue Cadenhead
Title
President
Phone
(850) 869-6705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 000439 FL Primary

Addresses

Primary practice location

194 E Redstone Ave
Ste. a
Crestview, FL 32539-5348

Mailing address

194 E Redstone Ave
Ste. a
Crestview, FL 32539-5348
Phone (850) 689-6705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073569166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E REDSTONE AVE",
            "address_2": "STE. A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395348",
            "telephone_number": "850-689-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E REDSTONE AVE",
            "address_2": "STE. A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395348",
            "telephone_number": "850-689-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADENHEAD",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-869-6705"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "000439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

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.