Organization Active NPI

Sauk Valley Open MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dixon, IL
National Provider Identifier
1659376523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SAUK VALLEY OPEN MRI, LLC
Practice address
1622 Sauk Rd
Dixon, IL 61021-8777
Phone
(815) 284-4674
Fax
(815) 284-4691
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven A. Metcalf, MBA
Title
Manager
Phone
(815) 284-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X IL Primary

Addresses

Primary practice location

1622 Sauk Rd
Dixon, IL 61021-8777

Mailing address

1622 Sauk Rd
Dixon, IL 61021-8777
Phone (815) 284-4674

National Provider Directory

National Provider Directory

Locations

1622 Sauk Rd
Dixon, IL 61021
Phone (815) 284-4671

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659376523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SAUK RD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610218777",
            "telephone_number": "815-284-4674",
            "fax_number": "815-284-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SAUK RD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610218777",
            "telephone_number": "815-284-4674",
            "fax_number": "815-284-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK VALLEY OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-284-4674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.