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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- 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, 2018
- 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
- Roland Wikstrom
- Title
- Cco
- Phone
- (414) 431-0309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ThedaCare Behavioral Health
- Counselor
- Menasha, WI
- NPI 1306959515
Member Of
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.