NPIMap

Organization Active NPI

Advanced MRI Imaging, PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1295996080
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED MRI IMAGING, PLLC
Practice address
27207 Lahser Rd
Suite 101
Southfield, MI 48034-2168
Phone
(248) 398-4488
NPI assigned
Jun 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Roger B Fenton, DONPI 1780697425
Title
Owner
Phone
(248) 398-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

27207 Lahser Rd
Suite 101
Southfield, MI 48034-2168

Mailing address

4996 Champlain Cir
W Bloomfield, MI 48323-3527
Phone (249) 398-4488

National Provider Directory

National Provider Directory

Locations

26025 Lahser Rd
Ste 101
Southfield, MI 48033
Phone (248) 663-3300

27207 Lahser Rd
Ste 101
Southfield, MI 48034
Phone (248) 398-4488

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1295996080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4996 CHAMPLAIN CIR",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233527",
            "telephone_number": "249-398-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "248-398-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MRI IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-398-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.