Jamestown Imaging Management LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

JAMESTOWN IMAGING MANAGEMENT LLC

Doing business as

Jamestown Open MRI

Practice address

779 Fairmount Ave
Jamestown, NY 14701-2608

Phone

(716) 665-1198

Fax

(716) 665-2035

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Douglas

Title

Credentialing Manager

Phone

(502) 403-1401

Specialties & licenses 2

Addresses

Other names 1

• Jamestown Open MRI Doing business as

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1376546390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 250",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-665-1198",
            "fax_number": "716-665-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012608",
            "telephone_number": "716-665-1198",
            "fax_number": "716-665-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN IMAGING MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-403-1401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamestown Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamestown Anesthesia Associates, PC
• Jamestown Area Medical Associates, L.L.P.
• Jamestown Area Pathology ,LLC
• Jamestown City School District
• Jamestown City School District
• Jamestown Medical Oncology Hematology, LLC
• Jamestown Optometric Group, PC (Spectrum Eyecare)
• Jamestown Pediatric Associates, LLP
• Jamestown Physician Services of Ny PC
• Jamestown Primary Care LLP

• Radiology Clinic/Center in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.