NPIMap

Organization Active NPI

Center for Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Hillsboro, OR
National Provider Identifier
1275505448
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTER FOR MEDICAL IMAGING LLC
Practice address
10810 NE Cornell Rd Ste 100
Hillsboro, OR 97124-9219
Phone
(503) 216-8400
Fax
(503) 216-8410
NPI assigned
Feb 2, 2006
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
James V HazardNPI 1972573228
Title
MD
Phone
(503) 292-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Diagnostic Radiology Physician 2085R0202X OR Primary

Addresses

Primary practice location

10810 NE Cornell Rd Ste 100
Hillsboro, OR 97124-9219

Mailing address

PO Box 25278
Portland, OR 97298-0278
Phone (503) 292-9108

Other practice location 1

7305 SE Circuit Dr
Hillsboro, OR 97123-1915
Phone (503) 216-8400

Other identifiers 2

IdentifierTypeStateIssuer
269831MedicaidOR
DD7153OtherORRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050216000427 OR Part B Supplier - Clinic/Group Practice 9335191543 Receives reassigned benefits from 37 practitioners
Practice locations: Hillsboro, OR
O20240305002154 MN Part B Supplier - Clinic/Group Practice 9335191543 Practice locations: Fridley, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1045637Center for Medical Imaging10810 NE Cornell Rd Suite 100, Hillsboro, OR 97124Certificate of waiverSep 19, 2027
38D2268242Center for Medical Imaging-Reed's Crossing7305 SE Circuit Dr, Ste 170, Hillsboro, OR 97123Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Locations

7305 SE Circuit Dr
Ste 170
Hillsboro, OR 97129
Phone (503) 216-8400

9400 SW Barnes Rd
Portland, OR 97225

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1275505448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25278",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980278",
            "telephone_number": "503-292-9108",
            "fax_number": "503-292-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 NE CORNELL RD STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249219",
            "telephone_number": "503-216-8400",
            "fax_number": "503-216-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 SE Circuit Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971231915",
            "country_code": "US",
            "telephone_number": "503-216-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HAZARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-292-9108"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269831",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DD7153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.