NPIMap

Organization Active NPI

Mediscan Imaging Center of Rockford LLC

Doing business as High Field Open MRI of Rockford

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1679695332
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDISCAN IMAGING CENTER OF ROCKFORD LLC
Doing business as
High Field Open MRI of Rockford
Practice address
6957 Olde Creek Rd Ste 4100
Rockford, IL 61114-7416
Phone
(815) 636-2244
Fax
(815) 633-0432
NPI assigned
Apr 4, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mr. Avneesh Nigam
Title
President
Phone
(815) 636-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6957 Olde Creek Rd Ste 4100
Rockford, IL 61114-7416

Mailing address

2415 Cerro Vista Dr
Rockford, IL 61107-1004
Phone (815) 636-2244

Other names 1

  • High Field Open MRI of Rockford Doing business as

National Provider Directory

National Provider Directory

Locations

6957 Olde CRK Rd
Ste 4100
Rockford, IL 61114
Phone (815) 636-2244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1679695332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 CERRO VISTA DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071004",
            "telephone_number": "815-636-2244",
            "fax_number": "815-633-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 OLDE CREEK RD STE 4100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147416",
            "telephone_number": "815-636-2244",
            "fax_number": "815-633-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISCAN IMAGING CENTER OF ROCKFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "NIGAM",
        "authorized_official_first_name": "AVNEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-636-2244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Field Open MRI of Rockford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.