Active NPI
Jefferson City Open MRI LLC
- Radiology Clinic/Center
- Jefferson City, MO
National Provider Identifier
1376598292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- JEFFERSON CITY OPEN MRI LLC
- Practice address
- 3218 W Edgewood Dr
Suite 200
Jefferson City, MO 65109-6951 - Phone
- (573) 635-6262
- NPI assigned
- May 23, 2006
- Last updated
- May 29, 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
- Mr. Jim Lester
- Title
- President
- Phone
- (918) 496-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
3218 W Edgewood Dr
Suite 200
Jefferson City, MO 65109-6951
Mailing address
PO Box 366
Broken Arrow, OK 74013-0366
Phone (888) 922-2299
National Provider Directory
National Provider DirectoryLocations
1002 Diamond Rdg
Ste 400
Jefferson Cty, MO 65109
Phone (573) 635-6262
Practitioners & affiliated clinicians
Practitioners 1
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
- Columbia, MO
- NPI 1578585154
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": "1212019200000",
"number": "1376598292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740130366",
"telephone_number": "888-922-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 W EDGEWOOD DR",
"address_2": "SUITE 200",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096951",
"telephone_number": "573-635-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON CITY OPEN MRI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "LESTER",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-496-5185",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
- Jefferson City Medical Group, PC (JCMG Path Lab)
- Jefferson City Medical Group, PC (JCMG Anesthesia)
- Jefferson City Medical Group, PC
- Jefferson City Nursing and Rehabilitation Center, LLC
- Jefferson City Obstetrics & Gynecology Inc
- Jefferson City Oral and Maxillofacial Surgery, LLC
- Jefferson City Public Schools
- Jefferson City Renal Services LLC
- Jefferson City Renal Services LLC
- Jefferson City Residential, LLC (The Arbors at Westbrook Terrace)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.