NPIMap

Organization Active NPI

Envision Open MRI LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Council Bluffs, IA
National Provider Identifier
1922147586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
18456 Issued in NE
Legal business name
ENVISION OPEN MRI LLC
Practice address
1414 Avenue J
Council Bluffs, IA 51501-1167
Phone
(712) 325-8415
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ingrid E Franze, M.D.NPI 1306828116
Title
Owner
Phone
(712) 325-8415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X 18456 NE Primary

Addresses

Primary practice location

1414 Avenue J
Council Bluffs, IA 51501-1167

Mailing address

301 N 44TH St
Suite 102
Lincoln, NE 68503-3707
Phone (402) 467-5335

Other identifiers 1

IdentifierTypeStateIssuer
42127426313MedicaidNE

National Provider Directory

National Provider Directory

Locations

301 N 44th St
Ste 102
Lincoln, NE 68503

Practitioners & affiliated clinicians

Practitioners 4

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922147586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 44TH ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033707",
            "telephone_number": "402-467-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 AVENUE J",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515011167",
            "telephone_number": "712-325-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANZE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-325-8415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NE",
            "license": "18456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42127426313",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.