Organization Active NPI

Opensided MRI of San Antonio LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • San Antonio, TX
National Provider Identifier
1417984493
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
OPENSIDED MRI OF SAN ANTONIO LLC
Practice address
5282 Medical Dr
Suite 100
San Antonio, TX 78229-4849
Phone
(888) 692-6736
Fax
(210) 692-0821
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Linda Rhodes
Title
Officer Treasurer
Phone
(804) 217-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

5282 Medical Dr
Suite 100
San Antonio, TX 78229-4849

Mailing address

5282 Medical Dr
Suite 100
San Antonio, TX 78229-4849
Phone (888) 692-6736

Other identifiers 1

IdentifierTypeStateIssuer
1882292201MedicaidTX

National Provider Directory

National Provider Directory

Locations

5280 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 692-0776

5282 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (888) 692-6736

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1417984493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "888-692-6736",
            "fax_number": "210-692-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "888-692-6736",
            "fax_number": "210-692-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENSIDED MRI OF SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICER TREASURER",
        "authorized_official_telephone_number": "804-217-7114"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1882292201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.