NPIMap

Organization Active NPI

Computerized Medical Imaging Inc.

  • Radiologic Technologist
  • Eau Claire, WI
National Provider Identifier
1669417911
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
COMPUTERIZED MEDICAL IMAGING INC.
Practice address
719 W Hamilton Ave
Ste B
Eau Claire, WI 54701-6968
Phone
(715) 839-8020
Fax
(715) 839-7440
NPI assigned
Jun 19, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Stangl
Title
President
Phone
(715) 839-8020

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X NU Primary
Bone Densitometry Radiologic Technologist 2471B0102X NU
Radiography Radiologic Technologist 2471C3402X NU
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X WI
Mammography Radiologic Technologist 2471M2300X NU
Nuclear Medicine Technology Radiologic Technologist 2471N0900X NU
Sonography Radiologic Technologist 2471S1302X NU

Addresses

Primary practice location

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701-6968

Mailing address

PO Box 1426
Eau Claire, WI 54702-1426
Phone (715) 838-8898

Other identifiers 1

IdentifierTypeStateIssuer
32807600MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669417911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021426",
            "telephone_number": "715-838-8898",
            "fax_number": "715-838-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE",
            "address_2": "STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016968",
            "telephone_number": "715-839-8020",
            "fax_number": "715-839-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUTERIZED MEDICAL IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-839-8020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32807600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.