Organization Active NPI

Smart Choice MRI, LLC

Doing business as Smart Choice MRI Oswego

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Oswego, IL
National Provider Identifier
1477003267
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SMART CHOICE MRI, LLC
Doing business as
Smart Choice MRI Oswego
Practice address
2752 US Highway 34
Oswego, IL 60543
Phone
(844) 633-3674
Fax
(414) 672-2292
NPI assigned
Oct 5, 2016
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Roland Wikstrom
Title
Cco
Phone
(414) 431-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

2752 US Highway 34
Oswego, IL 60543

Mailing address

2752 US Highway 34
Oswego, IL 60543-8301
Phone (844) 633-3674

Other practice location 1

2754 US Highway 34
Oswego, IL 60543-8301
Phone (844) 633-3674

Other names 1

  • Smart Choice MRI Oswego Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

Locations

2754 US Highway 34
Oswego, IL 60543

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1477003267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438301",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "60543",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2754 US Highway 34",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438301",
            "country_code": "US",
            "telephone_number": "844-633-3674",
            "fax_number": "414-672-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMART CHOICE MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "WIKSTROM",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "414-431-0309"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Choice MRI Oswego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smart Choice MRI Oswego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.