Eauclaire Open MRI, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

EAUCLAIRE OPEN MRI, LLC

Practice address

4130 State Road 93
Eau Claire, WI 54701-7806

Phone

(715) 830-9507

Fax

(715) 830-9609

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Douglas

Title

Credentialing Manager

Phone

(502) 477-1815

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chippewa Valley Open MRI Doing business as

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1841293552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 STATE HWY 93",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017806",
            "telephone_number": "715-830-9507",
            "fax_number": "715-830-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 STATE ROAD 93",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017806",
            "telephone_number": "715-830-9507",
            "fax_number": "715-830-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAUCLAIRE OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-477-1815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32880400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa Valley Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eau Claire Women'S Care S.C.
• Heather D Ebert, MOT, OTR/L
• Laura Marie Ecker, PT
• Kelsey Eckert, PHARMD
• Cynthia L. Eckes, NP
• Sara Rebecca Eckloff, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.