Open MRI of Delafield, LLC

Primary specialty

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

Legal business name

OPEN MRI OF DELAFIELD, LLC

Practice address

3960 Hillside Dr
Suite 106
Delafield, WI 53018-2148

Phone

(262) 646-6950

Fax

(262) 646-7098

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Sage

Title

Member Manager

Phone

(877) 444-4540

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325376000000",
    "number": "1528013992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD",
            "address_2": "SUITE 5",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "877-444-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HILLSIDE DR",
            "address_2": "SUITE 106",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182148",
            "telephone_number": "262-646-6950",
            "fax_number": "262-646-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF DELAFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-01",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "877-444-4540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PIN",
            "identifier": "P000043204",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21263000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Havilah A Normington, RN, MSN
• Patricia Nortrom
• Margaret A Offenbacher
• Megan Elizabeth Oliver, PHARMD
• Joe Olson, DC
• Orthonova Regenerative Therapeutics , LLC
• Jose Fernando Pareja Zabala
• Maida Ann Parkins, M.D.
• Janet M. Patterson, MSW, CAPSW, MFT
• Mariah Kala Patterson, MSW

• Magnetic Resonance Imaging (MRI) Clinic/Center in Delafield, WI
• Providers in Delafield, WI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; 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.