Oregon Advanced Imaging, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

OREGON ADVANCED IMAGING, LLC

Practice address

1107 Crater Lake Ave
Medford, OR 97504-6241

Phone

(541) 608-8791

Fax

(541) 608-0376

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Lynette K Gundlach

Title

Comptroller

Phone

(541) 608-8791

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Oregon Advanced Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Medford, OR
  • NPI 1134416464

  O20111011000777

  Same enrollment
• Oregon Advanced Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Central Point, OR
  • NPI 1689919573

  O20111011000777

  Same enrollment

Member of 1

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

• Providence Health & Services - Oregon

  • Rehabilitation Hospital Unit
  • Medford, OR
  • NPI 1508949884

  Member Of

  NPD member

Practitioners 2

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

• Chad Michael Ringger, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1134314537
  NPD
• Nathan Thomas Mortensen, D.O.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1679825400
  NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1306133632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010114",
            "telephone_number": "541-608-8791",
            "fax_number": "541-608-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046241",
            "telephone_number": "541-608-8791",
            "fax_number": "541-608-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ADVANCED IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "GUNDLACH",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "541-608-8791",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Ordal, MD
• Oregon 180
• Oregon Advanced Imaging LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon CVS Pharmacy LLC
• Oregon Ear Nose and Throat Surgery
• Oregon Health Sciences University
• Oregon Internal Medicine, LLC.

• Magnetic Resonance Imaging Radiologic Technologist in Medford, OR
• Providers in Medford, OR by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.