Advanced Imaging LLC

Primary specialty

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

Legal business name

ADVANCED IMAGING LLC

Doing business as

Northwest MRI

Practice address

2604 S Main Rd
Lebanon, OR 97355-2338

Phone

(541) 570-1728

Fax

(541) 405-4020

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Adam Rosario KelleyNPI 1225529720

Title

Owner

Phone

(541) 570-1728

Specialties & licenses 1

Addresses

Other names 1

• Northwest MRI Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Rosario Kelley

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lebanon, OR
  • NPI 1225529720
  NPD (past) Authorized official

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1619468907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 S MAIN RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552338",
            "telephone_number": "541-570-1728",
            "fax_number": "541-405-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S MAIN RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552338",
            "telephone_number": "541-570-1728",
            "fax_number": "541-405-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-570-1728"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjo Aardema, LMT
• Acorn Dentistry for Kids - Lebanon, LLC
• Adam Kirkpatrick, DDS Family and Cosmetic Dentistry, LLC
• Advanced Imaging, LLC (Northwest MRI)
• Natalie A Aerni
• Shelli A Alinari-Beebe, PHD
• Carly Allen
• Allevia Health, Inc. (Allevia Health)

• Magnetic Resonance Imaging (MRI) Clinic/Center in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.