Organization Active NPI

Johnston MRI LLC

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Clayton, NC
National Provider Identifier
1114150034
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X
Legal business name
JOHNSTON MRI LLC
Practice address
2138 NC Hwy 42 W
Clayton, NC 27520-8343
Phone
(919) 585-8000
Fax
(919) 989-6584
NPI assigned
Aug 26, 2009
Organization subpart
Yes
Parent organization
JOHNSTON MEMORIAL HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Jeffrey A. Wakefield
Title
Controller
Phone
(919) 938-7113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RM1200X Primary

Addresses

Primary practice location

2138 NC Hwy 42 W
Clayton, NC 27520-8343

Mailing address

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7595

National Provider Directory

National Provider Directory
Part of
Johnston Memorial Hospital

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1114150034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-938-7595",
            "fax_number": "919-938-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 NC HWY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208343",
            "telephone_number": "919-585-8000",
            "fax_number": "919-989-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MRI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSTON MEMORIAL HOSPITAL AUTHORITY",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "919-938-7113"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.