Enhanced Medical Imaging of Coos Bay LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ENHANCED MEDICAL IMAGING OF COOS BAY LLC

Practice address

2650 N 17TH St
Coos Bay, OR 97420-2134

Phone

(541) 267-5411

Fax

(541) 267-4898

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Eric Wnuck

Title

Ceo

Phone

(541) 267-5411

Specialties & licenses 1

Addresses

Other names 1

• SOUTH COAST RADIOLOGY Doing business as

Practitioners 1

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

• Jeffrey Carl Bickel, M.D

  • Body Imaging Physician
  • Lewiston, ID
  • NPI 1841392982
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1902090103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-267-5411",
            "fax_number": "541-267-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-267-5411",
            "fax_number": "541-267-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED MEDICAL IMAGING OF COOS BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "WNUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-267-5411"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Elgin
• Scot Allen Embry, PT
• Carol J. Embury, LCSW
• Jason Daniel Empson, FNP
• Monica England
• Carma J. Erickson Hurt, CNS
• Matthew Ryan Erickson, DMD
• Ezgi Ertemin-Pearson
• Rama J Eshelbrenner, M.A.
• Katherine Anne Etienne, LMT

• Physiological Laboratory in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Physiological Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.