Silver Creek MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

OTC3000 Issued in AZ

Legal business name

SILVER CREEK MRI LLC

Practice address

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924

Phone

(928) 704-8973

NPI assigned

Feb 22, 2006

Organization subpart

Yes

Parent organization

SILVER CREEK MRI LLCAs reported in NPPES

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

Authorized official

Name

Sophia Arwood

Title

Director

Phone

(615) 628-6038

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Silver Creek MRI LLC

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1477528479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "888-801-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427924",
            "telephone_number": "928-704-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK MRI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER CREEK MRI LLC",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "AZ",
            "license": "OTC3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62863801",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "AZ0207720",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaw Shahriari
• Heather A Shelton, MD
• Michael Shing, DO
• Silver Creek Inn Assets LLC
• Silver Creek MRI LLC
• Silver Ridge Management Inc
• Silvercreek Medical Associates, P.C.
• Ludane Tonie Simmons, M.D.
• Gregory Jon Simpson, O.D.
• Maren Dela Cruz Simpson

• Magnetic Resonance Imaging (MRI) Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.