NPIMap

Organization Active NPI

Pekin MRI, LLC

  • Physiological Laboratory
  • Pekin, IL
National Provider Identifier
1487657433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PEKIN MRI, LLC
Practice address
1300 Park Ave
Pekin, IL 61554-5038
Phone
(309) 347-2143
Fax
(309) 347-2416
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. V. Renae Coyne
Title
Director of Billing
Phone
(330) 653-3968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1300 Park Ave
Pekin, IL 61554-5038

Mailing address

1894 Georgetown Rd
Hudson, OH 44236-4058
Phone (330) 653-3968

National Provider Directory

National Provider Directory

Locations

1300 Park Ave
Pekin, IL 61554
Phone (309) 347-2143

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487657433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 GEORGETOWN RD",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364058",
            "telephone_number": "330-653-3968",
            "fax_number": "330-656-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PARK AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545038",
            "telephone_number": "309-347-2143",
            "fax_number": "309-347-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKIN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "V.",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "330-653-3968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.