Advanced Open Imaging Boise LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ADVANCED OPEN IMAGING BOISE LLC

Practice address

3581 East Overland Rd
Meridian, ID 83642

Phone

(208) 846-7494

Fax

(208) 846-7496

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Parker Jones

Title

Co-Manager

Phone

(425) 771-8161

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Diane R Newton, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1689617797
  NPD (past)
• Paul D Traughber, M.D.

  • Diagnostic Radiology Physician
  • McCall, ID
  • NPI 1538107362
  NPD (past)
• Margaret F. Ensign, MD

  • Diagnostic Radiology Physician
  • Murray, UT
  • NPI 1982651071
  NPD (past)
• Steven F Merandi, M.D.

  • Diagnostic Radiology Physician
  • El Segundo, CA
  • NPI 1962458000
  NPD (past)
• Robert K Ueda, MD

  • Diagnostic Radiology Physician
  • Lewistown, PA
  • NPI 1477589406
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316003726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980461355",
            "telephone_number": "425-771-8161",
            "fax_number": "425-771-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 EAST OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-846-7494",
            "fax_number": "208-846-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OPEN IMAGING BOISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "425-771-8161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "00010146760",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J133",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Radiology Clinic/Center in Idaho

• 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.