NPI Code Detail JSON Logo

1992826473 NPI number — EASTLAND OPEN MRI LLC

NPI Number: 1992826473
Health Care Provider/Practitioner: EASTLAND OPEN MRI LLC

Information about “1992826473” NPI (EASTLAND OPEN MRI LLC) exists in 1992826473 in HTML format HTML  |  1992826473 in plain Text format TXT  |  1992826473 in PDF (Portable Document Format) PDF  |  1992826473 in an XML format XML  formats.

NPI Number : 1992826473 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992826473",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EASTLAND OPEN MRI LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1505 EASTLAND DR.",
    "SecondLineMailingAddress": "LOWER LEVEL",
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-664-7788",
    "MailingAddressFaxNumber": "309-665-0871",
    "FirstLinePracticeLocationAddress": "1505 EASTLAND DR",
    "SecondLinePracticeLocationAddress": "LOWER LEVEL",
    "PracticeLocationAddressCityName": "BLOOMINGTON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61701-3534",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-664-7788",
    "PracticeLocationAddressFaxNumber": "309-665-0871",
    "EnumerationDate": "04/03/2007",
    "LastUpdateDate": "12/14/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NORD",
    "AuthorizedOfficialFirstName": "LAWRENCE",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "309-664-7788",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1200X",
        "TaxonomyName": "Magnetic Resonance Imaging (MRI) Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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