Organization Active NPI

Tri Cities Open MRI LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • St Charles, IL
National Provider Identifier
1831290121
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
TRI CITIES OPEN MRI LLC
Practice address
40W222 Lafox Rd
St Charles, IL 60175-7625
Phone
(630) 444-0082
Fax
(630) 444-0083
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Mrs. Mary C Fick, RT
Title
Manager
Phone
(630) 444-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X Primary

Addresses

Primary practice location

40W222 Lafox Rd
St Charles, IL 60175-7625

Mailing address

40W222 Lafox Rd
St Charles, IL 60175-7625
Phone (630) 444-0082

National Provider Directory

National Provider Directory

Locations

40W222 Lafox Rd
Ste H1
St Charles, IL 60175
Phone (630) 444-0082

40W222 Lafox Rd
St Charles, IL 60175
Phone (630) 443-7000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1831290121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-444-0082",
            "fax_number": "630-444-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W222 LAFOX RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757625",
            "telephone_number": "630-444-0082",
            "fax_number": "630-444-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITIES OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-444-0082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.