Smart Choice MRI, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

SMART CHOICE MRI, LLC

Practice address

1704 E 66TH St
Minneapolis, MN 55423

Phone

(844) 633-3674

Fax

(414) 672-2292

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Roland Wikstrom

Title

Coo

Phone

(414) 431-0309

Specialties & licenses 1

Addresses

Other names 1

• Smart Choice MRI Minneapolis Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Edward Health Ventures

  • Neurological Surgery Physician
  • Naperville, IL
  • NPI 1396976445

  Member Of

  NPD member
• Thedacare, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • New London, WI
  • NPI 1699915504

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Smart Choice MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Eden Prairie, MN
  • NPI 1417494196
  NPPES parent name

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1215480942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD STE 1B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E 66TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10532 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925563",
            "country_code": "US",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMART CHOICE MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "WIKSTROM",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-431-0309"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Choice MRI Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smart Choice MRI Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Kyle Slywka, RPH
• Amber Small, REGISTERED NURSE
• Moira E Smallacombe
• Jacqueline Ruth Smalley, LPCC, LADC
• Smart Choice Adult Day Care LLC
• Smart Therapy Center LLC
• Charles Duncan Smart
• Keenan Matthew Smart, LPCC
• William Loren Smart
• Karen Mary Smead, CNS,DNP

• All providers in Minneapolis, MN
• Magnetic Resonance Imaging (MRI) Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.