Organization Active NPI

Envision Open MRI LLC

  • Diagnostic Radiology Physician
  • Lincoln, NE
National Provider Identifier
1144409343
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ENVISION OPEN MRI LLC
Practice address
300 N 44TH St
Ste 102
Lincoln, NE 68503-3415
Phone
(402) 467-5335
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Michael D. Raasch
Title
Managing Member
Phone
(402) 467-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

300 N 44TH St
Ste 102
Lincoln, NE 68503-3415

Mailing address

300 N 44TH St
Ste 102
Lincoln, NE 68503-3415
Phone (402) 467-5335

Other identifiers 3

IdentifierTypeStateIssuer
10025579500MedicaidNE
P00629620OtherNERR MEDICARE
01899001OtherNEBCBS OF NE

National Provider Directory

National Provider Directory

Locations

201 Ridge St
Ste 316B
Council Bluffs, IA 51503
Phone (712) 328-4375

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

6041 Village Dr
Lincoln, NE 68516

Practitioners & affiliated clinicians

Practitioners 4

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1144409343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 44TH ST",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033415",
            "telephone_number": "402-467-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 44TH ST",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033415",
            "telephone_number": "402-467-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "RAASCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-467-5335"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025579500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00629620",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "01899001",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.