Active NPI
Advanced Medical Imaging of Portland, LLC
- Diagnostic Radiology Physician
- Milwaukie, OR
National Provider Identifier
1497086466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ADVANCED MEDICAL IMAGING OF PORTLAND, LLC
- Practice address
- 6542 SE Lake Rd Ste 103
Milwaukie, OR 97222-2245 - Phone
- (503) 653-1699
- Fax
- (503) 653-3899
- NPI assigned
- Jan 14, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Levent Adam
- Title
- Director of Operations
- Phone
- (703) 970-2892
National Provider Directory
National Provider DirectoryLocations
6542 SE Lake Rd
Ste 103
Milwaukie, OR 97222
Phone (503) 653-1699
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6542 SE Lake Rd Ste 103
Milwaukie, OR 97222-2245
Mailing address
Department 4888
Carol Stream, IL 60122-4888
Phone (503) 657-8663
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500618878 | Medicaid | OR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2011.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1497086466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 4888",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601224888",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6542 SE LAKE RD STE 103",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222245",
"telephone_number": "503-653-1699",
"fax_number": "503-653-3899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL IMAGING OF PORTLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-14",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "ADAM",
"authorized_official_first_name": "LEVENT",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "703-970-2892"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500618878",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.