Active NPI
Open Advanced MRI Longview LLC
- Diagnostic Radiology Physician
- Longview, WA
National Provider Identifier
1316992720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OPEN ADVANCED MRI LONGVIEW LLC
- Practice address
- 1015 Ocean Beach Hwy
#125
Longview, WA 98632-4098 - Phone
- (360) 703-0703
- Fax
- (360) 703-0704
- NPI assigned
- May 23, 2006
- Last updated
- Aug 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Levent Adam
- Title
- Director of Operations
- Phone
- (503) 407-4697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1015 Ocean Beach Hwy
#125
Longview, WA 98632-4098
Mailing address
PO Box 75025
Baltimore, MD 21275-5025
Phone (503) 657-8663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286358 | Medicaid | OR | |
| 7110620 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1015 Ocean Beach Hwy
Ste 125
Longview, WA 98632
Phone (360) 703-0703
221G NE 104th Ave
Ste 10
Vancouver, WA 98664
Phone (360) 703-0703
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1497790448
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1003847849
-
- Diagnostic Radiology Physician
- Oregon City, OR
- NPI 1871551341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1316992720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75025",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212755025",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 OCEAN BEACH HWY",
"address_2": "#125",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986324098",
"telephone_number": "360-703-0703",
"fax_number": "360-703-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN ADVANCED MRI LONGVIEW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "ADAM",
"authorized_official_first_name": "LEVENT",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "503-407-4697"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286358",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7110620",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
- Brent Olsen
- Elena Vladimirovna Olsen, M.D.
- Kim J. Olsen, RPH
- Patricia Olson
- Shawna Olson, RN
- Jennifer Tate Opferman, PA
- Reynold G Orchard, MD
- Diego Ordonex-Potter, BA, R-AAC
- Oregon Health Sciences University Department of Ophthalmology (OHSU Lower Columbia Eye Clinic)
- David George Gerald Ormond, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.