Organization Active NPI

Grand Island Imaging Center LLC

Doing business as Grand Island Imaging Center

  • Diagnostic Radiology Physician
  • Grand Island, NE
National Provider Identifier
1427094341
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
NA Issued in NE
Legal business name
GRAND ISLAND IMAGING CENTER LLC
Doing business as
Grand Island Imaging Center
Practice address
3610 Richmond Cir Ste 110
Grand Island, NE 68803-3910
Phone
(469) 469-4741
Fax
(308) 398-6408
NPI assigned
Jun 20, 2006
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Nathan W Murdoch, MDNPI 1063675197
Title
Owner
Phone
(308) 398-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NA NE Primary

Addresses

Primary practice location

3610 Richmond Cir Ste 110
Grand Island, NE 68803-3910

Mailing address

PO Box 1962
Grand Island, NE 68802-1962
Phone (469) 469-4741

Other identifiers 2

IdentifierTypeStateIssuer
01434OtherNEBLUE CROSS BLUE SHIELD
300098706OtherNERAILROAD MEDICARE

Other names 1

  • GRAND ISLAND IMAGING CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000592 NE Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597747584 Practice locations: Grand Island, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2127854Grand Island Imaging Center3610 Richmond Circle, Suite 110, Grand Island, NE 68803Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3610 Richmond Cir
Ste 110
Grand Island, NE 68803
Phone (469) 469-4741

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1427094341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1962",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688021962",
            "telephone_number": "469-469-4741",
            "fax_number": "308-398-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 RICHMOND CIR STE 110",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033910",
            "telephone_number": "469-469-4741",
            "fax_number": "308-398-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ISLAND IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "MURDOCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-398-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01434",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300098706",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND ISLAND IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.