Active NPI
Open MRI of Grand Forks, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Grand Forks, ND
National Provider Identifier
1659773125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- OPEN MRI OF GRAND FORKS, LLC
- Practice address
- 2820 19TH Ave S
Grand Forks, ND 58201-5957 - Phone
- (478) 755-9966
- Fax
- (478) 755-9964
- NPI assigned
- Sep 16, 2014
- 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
- Dr. Peter O. Holliday III, M.D.
- Title
- President
- Phone
- (478) 755-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
2820 19TH Ave S
Grand Forks, ND 58201-5957
Mailing address
2820 19TH Ave S
Grand Forks, ND 58201-5957
Phone (478) 755-9966
National Provider Directory
National Provider DirectoryLocations
2820 19th Ave S
Ste 102
Grand Forks, ND 58201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1659773125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 19TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015957",
"telephone_number": "478-755-9966",
"fax_number": "478-755-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 19TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015957",
"telephone_number": "478-755-9966",
"fax_number": "478-755-9964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI OF GRAND FORKS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "HOLLIDAY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-755-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.