Active NPI
Magnetic Resonance Imaging Associates
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Bangor, ME
National Provider Identifier
1932153863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- MAGNETIC RESONANCE IMAGING ASSOCIATES
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 945-4680
- Fax
- (207) 945-4689
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Nicholas, MD
- Title
- Medical Director
- Phone
- (207) 945-4680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | ME | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
PO Box 1188
Bangor, ME 04402-1188
Phone (207) 945-4680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0184 | Other | ME | ANTHEM |
| 123480000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507075200000",
"number": "1932153863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1188",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021188",
"telephone_number": "207-945-4680",
"fax_number": "207-945-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-945-4680",
"fax_number": "207-945-4689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNETIC RESONANCE IMAGING ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2017-10-04",
"status": "A",
"authorized_official_last_name": "NICHOLAS",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "207-945-4680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "M0184",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123480000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.