NPIMap

Organization Active NPI

Eastern Oregon Diagnostic Imaging, Inc

  • Sonography Radiologic Technologist
  • La Grande, OR
National Provider Identifier
1508287657
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
EASTERN OREGON DIAGNOSTIC IMAGING, INC
Practice address
2011 4TH St
La Grande, OR 97850-2511
Phone
(541) 963-4139
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Jim Wimer
Title
Owner
Phone
(541) 805-8248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

2011 4TH St
La Grande, OR 97850-2511

Mailing address

PO Box 1893
Corvallis, OR 97339-1893

National Provider Directory

National Provider Directory

Locations

2011 4th St
Ste 5
La Grande, OR 97850
Phone (541) 963-4139

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1508287657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1893",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 4TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502511",
            "telephone_number": "541-963-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OREGON DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "WIMER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-805-8248"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.