Organization Active NPI

Bodyview Advanced Diagnostic Scanning, LLC

  • Diagnostic Radiology Physician
  • Clackamas, OR
National Provider Identifier
1750374922
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BODYVIEW ADVANCED DIAGNOSTIC SCANNING, LLC
Doing business as
BodyView Scanning
Practice address
13540 SE 97TH Ave
Clackamas, OR 97015-7691
Phone
(503) 653-7226
Fax
(503) 653-6791
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mr. Tony Finch, MPH
Title
Managing Member
Phone
(503) 653-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

13540 SE 97TH Ave
Clackamas, OR 97015-7691

Mailing address

13540 SE 97TH Ave
Clackamas, OR 97015-7691
Phone (503) 653-7226

Other identifiers 1

IdentifierTypeStateIssuer
269694MedicaidOR

Other names 1

  • BodyView Scanning Doing business as

National Provider Directory

National Provider Directory

Locations

13540 SE 97th Ave
Clackamas, OR 97015
Phone (503) 653-7226

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1750374922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157691",
            "telephone_number": "503-653-7226",
            "fax_number": "503-653-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 SE 97TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157691",
            "telephone_number": "503-653-7226",
            "fax_number": "503-653-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYVIEW ADVANCED DIAGNOSTIC SCANNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-653-7226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269694",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyView Scanning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.