Active NPI
Sauk Valley Open MRI, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dixon, IL
National Provider Identifier
1659376523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.