Active NPI
Medford Open MRI, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Brookings, OR
National Provider Identifier
1275655755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- MEDFORD OPEN MRI, LLC
- Doing business as
- Brookings Open MRI
- Practice address
- 555 5TH St
Suite 3
Brookings, OR 97415-9702 - Phone
- (541) 469-2170
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Fujioka
- Title
- Operations Manager
- Phone
- (503) 586-0153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
555 5TH St
Suite 3
Brookings, OR 97415-9702
Mailing address
205 Liberty St NE
Suite B
Salem, OR 97301-3586
Phone (503) 586-0153
Other names 1
- Brookings Open MRI
National Provider Directory
National Provider DirectoryLocations
555 5th St
Ste 3
Brookings, OR 97415
Phone (541) 469-2170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275655755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LIBERTY ST NE",
"address_2": "SUITE B",
"city": "SALEM",
"state": "OR",
"postal_code": "973013586",
"telephone_number": "503-586-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 5TH ST",
"address_2": "SUITE 3",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-469-2170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD OPEN MRI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FUJIOKA",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "503-586-0153"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookings Open MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.