Proactive MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

Legal business name

PROACTIVE MRI LLC

Doing business as

Proactive MRI

Practice address

329 E Platte Ave Ste C
Fort Morgan, CO 80701-3172

Phone

(970) 415-0855

Fax

(720) 247-9072

NPI assigned

Dec 12, 2018

Organization subpart

Yes

Parent organization

PROACTIVE CHIROPRACTIC LLCAs reported in NPPES

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

Authorized official

Name

Leif Stephens

Title

Owner

Phone

(970) 441-1117

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Proactive MRI Doing business as

Part of

Proactive Chiropractic LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Proactive Chiropractic LLC

  • Chiropractor
  • Fort Morgan, CO
  • NPI 1215187737
  NPPES parent name

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1104397413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E PLATTE AVE STE C",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013172",
            "telephone_number": "970-415-0855",
            "fax_number": "720-247-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E PLATTE AVE STE C",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013172",
            "telephone_number": "970-415-0855",
            "fax_number": "720-247-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MRI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROACTIVE CHIROPRACTIC LLC",
        "enumeration_date": "2018-12-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LEIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-441-1117"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215187737",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174016331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Lee Potts, M.A.
• Poudre Valley Medical Group, LLC
• Erin Pounds
• Amy Myrl Prince
• Proactive Chiropractic LLC
• Prosthetic Care Clinic LLC
• Kathleen Ramirez, FNP
• Asma Rashidi, PHARMD
• Paul Rathbun, BA
• Garry Reed, FNP

• Internal Medicine Physician in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.