Active NPI
Extremity MRI Inc
- Magnetic Resonance Imaging Radiologic Technologist
- Allentown, PA
National Provider Identifier
1609222371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 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
National Provider Directory
National Provider DirectoryLocations
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.