Active NPI
American Open MRI- Altus, LLC
- Diagnostic Radiology Physician
- Altus, OK
National Provider Identifier
1770533937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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.
-
- Family Medicine Physician
- Hollis, OK
- NPI 1609857754
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OK |
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.