Organization Active NPI

American Open MRI- Altus, LLC

  • Diagnostic Radiology Physician
  • Altus, OK
National Provider Identifier
1770533937
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AMERICAN OPEN MRI- ALTUS, LLC
Practice address
1116 N Main St
Suite M12
Altus, OK 73521-3149
Phone
(580) 477-2674
NPI assigned
May 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bob McLauchlin
Title
Administrator
Phone
(405) 210-9020

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1116 N Main St
Ste M12
Altus, OK 73521
Phone (580) 379-0677

1116 N Main St
Ste 12
Altus, OK 73521
Phone (405) 736-9222

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1116 N Main St
Suite M12
Altus, OK 73521-3149

Mailing address

1116 N Main St
Suite M12
Altus, OK 73521-3149

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PENDINGMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770533937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST",
            "address_2": "SUITE M12",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N MAIN ST",
            "address_2": "SUITE M12",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213149",
            "telephone_number": "580-477-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN OPEN MRI- ALTUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAUCHLIN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-210-9020"
    },
    "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": "PENDING",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

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.

Verify at the official NPI Registry.