Fox Valley Open MRI, LLC

Primary specialty

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

Legal business name

FOX VALLEY OPEN MRI, LLC

Practice address

201 W Northland Ave
Appleton, WI 54911-2039

Phone

(920) 996-0724

Fax

(920) 996-0728

NPI assigned

May 23, 2005

Last updated

Jun 12, 2008By the provider in NPPES

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) 403-1401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1881697837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112039",
            "telephone_number": "920-996-0724",
            "fax_number": "920-996-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTHLAND AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112039",
            "telephone_number": "920-996-0724",
            "fax_number": "920-996-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-403-1401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32874400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fox Valley Orthopaedic Surgeon's Association, Inc
• Fox Valley Perinatology, S.C.
• Fox Valley Prescription Centers LTD (Appleton Hometown Pharmacy)
• Fox Valley Psychiatric Associates
• Fox Valley Psychiatry LTD.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Appleton, WI
• Providers in Appleton, 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 Jun 12, 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.