NPIMap

Organization Active NPI

Advanced Mr Imaging, P.C. - Bronx

  • Radiology Clinic/Center
  • Windsor, CT
National Provider Identifier
1457556680
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCED MR IMAGING, P.C. - BRONX
Practice address
7 Waterside Xing
3Rd Floor
Windsor, CT 06095-1540
Phone
(800) 367-1095
Fax
(860) 298-6127
NPI assigned
Jun 18, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mr. Jeffrey M Flanegin
Title
President
Phone
(610) 831-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7 Waterside Xing
3Rd Floor
Windsor, CT 06095-1540

Mailing address

PO Box 548
Windsor, CT 06095-0548
Phone (800) 367-1095

National Provider Directory

National Provider Directory
Tax ID family
Advanced Mr Imaging PC - Bronx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7 Waterside Xing
Fl 3
Windsor, CT 06095

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1457556680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950548",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WATERSIDE XING",
            "address_2": "3RD FLOOR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951540",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MR IMAGING, P.C. - BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "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 Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.