Organization Active NPI

Medford Open MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Brookings, OR
National Provider Identifier
1275655755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.