NPIMap

Organization Active NPI

CT and Open MRI Lagrange,LLC

  • Body Imaging Physician
  • La Grange, KY
National Provider Identifier
1295713758
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
CT AND OPEN MRI LAGRANGE,LLC
Practice address
120 E Adams St
Suite 4
La Grange, KY 40031-1278
Phone
(502) 222-3281
Fax
(502) 225-5796
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Jannice Owens Aaron, M.D.NPI 1528005865
Title
President
Phone
(502) 222-3281

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X Primary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

120 E Adams St
Suite 4
La Grange, KY 40031-1278

Mailing address

120 E Adams St
Suite 4
La Grange, KY 40031-1278
Phone (502) 222-3281

Other identifiers 2

IdentifierTypeStateIssuer
CK2568OtherKYRAILROAD MEDICARE GROUP
65937781MedicaidKY

National Provider Directory

National Provider Directory

Locations

Dept 8030
Carol Stream, IL 60122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1295713758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E ADAMS ST",
            "address_2": "SUITE 4",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311278",
            "telephone_number": "502-222-3281",
            "fax_number": "502-225-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E ADAMS ST",
            "address_2": "SUITE 4",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311278",
            "telephone_number": "502-222-3281",
            "fax_number": "502-225-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT AND OPEN MRI LAGRANGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "JANNICE",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-222-3281",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CK2568",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937781",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.