Organization Active NPI

Skyland MRI LLC

Doing business as Skyland MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Asheville, NC
National Provider Identifier
1902943012
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SKYLAND MRI LLC
Doing business as
Skyland MRI
Practice address
1998 Henderson Highway
Asheville, NC 28803
Phone
(828) 687-8141
Fax
(828) 687-8142
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Kelly Pettijohn
Title
Treasurer
Phone
(828) 684-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1998 Henderson Highway
Asheville, NC 28803

Mailing address

PO Box 580
Fletcher, NC 28732-0580
Phone (828) 684-2420

Other identifiers 3

IdentifierTypeStateIssuer
89015P4MedicaidNC
015P4OtherNCBCBS
P00215051OtherNCRR MEDICARE

Other names 1

  • Skyland MRI Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1902943012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287320580",
            "telephone_number": "828-684-2420",
            "fax_number": "828-687-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 HENDERSON HIGHWAY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-687-8141",
            "fax_number": "828-687-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLAND MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "PETTIJOHN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "828-684-2420"
    },
    "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": "89015P4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "015P4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00215051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyland MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.