Southeast Iowa Open MRI

Primary specialty

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

Legal business name

SOUTHEAST IOWA OPEN MRI

Practice address

600 N Main St
Burlington, IA 52601-5012

Phone

(319) 752-8282

Fax

(319) 752-9005

NPI assigned

Mar 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINEAs reported in NPPES

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

Authorized official

Name

Melissa K Graham

Title

Business Office Supervisor

Phone

(319) 752-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Southeast Iowa Ortho an

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southeast Iowa Orthopedics & Sports Medicine PC

  • Specialist
  • Burlington, IA
  • NPI 1356521504
  NPPES parent name

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528190485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015012",
            "telephone_number": "319-752-8282",
            "fax_number": "319-752-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015012",
            "telephone_number": "319-752-8282",
            "fax_number": "319-752-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA OPEN MRI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "319-752-8282"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sloan, LMSW
• Smile Shoppe
• Alisa Nicole Smith, LISW
• Mona Riley Smith, M.F.T.
• Southeast Iowa Area Agency on Aging, Inc.
• Southeast Iowa Orthopedics & Sports Medicine PC
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)
• Sovereign Grace Therapy
• Cinnamon L Spear, OTR/L
• Arnold A Sperfslage, D.D.S.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Burlington, IA
• Providers in Burlington, IA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.