JAMESTOWN IMAGING MANAGEMENT LLC


Address: 779 Fairmount Ave, Jamestown, NY 14701-2608
Phone: 7166651198

JAMESTOWN IMAGING MANAGEMENT LLC (NPI# 1376546390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376546390
Entity Type Organization
Organization Name JAMESTOWN IMAGING MANAGEMENT LLC
Other Organization Name JAMESTOWN OPEN MRI
Practice Address 779 Fairmount Ave
Jamestown
NY 14701-2608
Mailing Address 15 S Main St Ste 250
Jamestown
NY 14701-6626
Practice Telephone 7166651198
Practice Fax Number 7166652035
Mailing Telephone 7166651198
Mailing Fax Number 7166652035
Enumeration Date 2005-05-23
Last Update Date 2008-06-12
Authorized Official Name MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
Authorized Official Telephone 5024031401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jamestown Open MRI Doing Business As Name - Organization

Office Location

Street Address 779 FAIRMOUNT AVE
City JAMESTOWN
State NY
Zip Code 14701-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093138810 Circulatory Centers New York LLP Specialist 779 Fairmount Ave, Jamestown, NY 14701-2608 2014-01-30
1245500685 Southern Tier Optometry Pllc Optometrist 779 Fairmount Ave, Jamestown, NY 14701-2608 2012-01-03
1083605745 Kara I Gibbs Optometrist 779 Fairmount Ave, Jamestown, NY 14701-2608 2005-11-02
1952398935 Bruce Howard Rockwell Radiology 779 Fairmount Ave, Jamestown, NY 14701-2608 2005-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952964314 Jennifer Ware Driver 116 Tower St, Jamestown, NY 14701 2019-04-20
1962979005 Kimberly Marlene Crasti Student in an Organized Health Care Education/Training Program 64 Ames Ave, Jamestown, NY 14701 2018-10-26
1679055032 Hannah Abbott Student in an Organized Health Care Education/Training Program 118 Superior St., Jamestown, NY 14701 2018-09-02
1669952172 Taylor Marie Genco Registered Nurse 110 E 4th Street, Jamestown, NY 14701 2018-08-15
1487163978 Molly Morgante Physical Therapy Assistant 410 Crossman Street, Jamestown, NY 14701 2017-09-27
1053832097 Amber Nicole Caylor Licensed Practical Nurse 48 Chautauqua Avenue, Jamestown, NY 14701 2017-06-29
1821520370 John Robert Ferry Registered Nurse 500 Pine St., Suite #15, Jamestown, NY 14701 2017-04-03
1467905638 Mental Health Association In Chautauqua County Case Management 31 Water Street, Suite 7, Jamestown, NY 14701 2016-07-25
1518336387 Tracy Dudley Licensed Practical Nurse 764 Harding Ave, Jamestown, NY 14701 2015-09-22
1174922405 Sylvia A Emerling Social Worker 332 East 4th St, Jamestown, NY 14701 2014-08-22
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1013488972 Instar Medical PC Clinic/Center 14 Georgetown Pl, Smithtown, NY 11787-4912 2018-12-17
1316457518 Ab Medical Diagnostics PC Clinic/Center 499 Chestnut St Ste 216, Cedarhurst, NY 11516-2242 2017-10-03
1629504501 New York Society for The Relief of The Ruptured and Crippled Clinic/Center 333 Earle Ovington Blvd Ste 106, Hss Long Island Outpatient Center, Uniondale, NY 11553-3645 2017-05-11
1669834297 Primary Care Choice Medical Testing P.c Clinic/Center 211 Richmond St, Brooklyn, NY 11208-1945 2016-03-23
1518322171 Queens Radiology Reading Services Inc Clinic/Center 16020 79th St, Howard Beach, Jamaica, NY 11414-2911 2015-12-28
1114348844 Valor Network Inc Clinic/Center 7 Hemptor Rd, New City, NY 10956-2508 2013-12-24
1356782916 Inwood Medical Diagnostic, P.C. Clinic/Center 629 W 185th St Bsmt, New York, NY 10033-3102 2013-07-11
1982942272 Comprehensive Mri of New York, P.C. Clinic/Center 1165 Wantagh Avenue, Wantagh, NY 11793 2013-01-22
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Competitor

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City JAMESTOWN
Zip Code 14701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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