EASTERN OREGON RADIOLOGY NPI 1922164482

NPI Information

NPI: 1922164482
Provider Name: EASTERN OREGON RADIOLOGY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 38D0669527

Address:
900 SUNSET DR
LA GRANDE, OR
ZIP 97850
Phone: (541) 963-8421
Get Directions

EASTERN OREGON RADIOLOGY is a diagnostic radiology radiology in La Grande, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EASTERN OREGON RADIOLOGY NPI is 1922164482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 SUNSET DR
LA GRANDE, OR
ZIP 97850-362
Phone: (541) 963-8421

The provider's authorized official is Daniel Kirkham .
The authorized official title is Partner and has the following contact phone number (541) 963-8421.

The CLIA number assigned to this NPI record is 38D0669527 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2006 and was last updated on 6/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CJ6070	OTHER	OREGON	RAILROAD MEDICARE
2	226258	MEDICAID	OREGON
3	041077000	OTHER	OREGON	REGENCE
4	194663800	OTHER	OREGON	DEPT LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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