NPIMap

Organization Active NPI

Sky Lakes Outpatient Imaging

  • Body Imaging Physician
  • Klamath Falls, OR
National Provider Identifier
1245572023
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
SKY LAKES OUTPATIENT IMAGING
Practice address
2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone
(541) 274-6221
NPI assigned
Mar 20, 2013
Organization subpart
Yes
Parent organization
SKY LAKES MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Richard Rico
Title
VP/Cfo
Phone
(541) 274-6150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X Primary
General Acute Care Hospital 282N00000X 14-0724 OR

Addresses

Primary practice location

2900 Daggett Ave
Klamath Falls, OR 97601-7101

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

National Provider Directory

National Provider Directory
Tax ID family
West Bahavioral Service23 organizations share this tax ID, including this one
Part of
West Bahavioral Service

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1245572023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017101",
            "telephone_number": "541-274-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY LAKES OUTPATIENT IMAGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKY LAKES MEDICAL CENTER INC",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "541-274-6150"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14-0724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.