Organization Active NPI

Extremity MRI Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Allentown, PA
National Provider Identifier
1609222371
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
EXTREMITY MRI INC
Practice address
3131 College Heights Blvd Ste 400
Allentown, PA 18104
Phone
(866) 398-7364
Fax
(866) 267-0144
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Gerald Beougher, MBA
Title
President
Phone
(866) 398-7364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

3131 College Heights Blvd Ste 400
Allentown, PA 18104

Mailing address

4500 Brooktree Rd
Suite 300
Wexford, PA 15090-9289
Phone (866) 398-7364

Other practice location 1

11011 King St Ste 225
Overland Park, KS 66210-1230
Phone (866) 398-7364

Other practice location 2

7000 Euclid Ave
Cleveland, OH 44103-4014
Phone (724) 933-3344

Other names 1

  • Extremity Imaging Partners Doing business as

National Provider Directory

National Provider Directory

Locations

7000 Euclid Ave
Cleveland, OH 44103
Phone (216) 231-5612

2717 Miamisburg Centerville Rd
Ste 203
Dayton, OH 45459
Phone (937) 428-6772

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1609222371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROOKTREE RD",
            "address_2": "SUITE 300",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909289",
            "telephone_number": "866-398-7364",
            "fax_number": "866-267-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 400",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "866-398-7364",
            "fax_number": "866-267-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 King St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101230",
            "country_code": "US",
            "telephone_number": "866-398-7364",
            "fax_number": "866-267-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034014",
            "country_code": "US",
            "telephone_number": "724-933-3344",
            "fax_number": "866-267-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTREMITY MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BEOUGHER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-398-7364",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extremity Imaging Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extremity Imaging Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.