Organization
ADVANCED IMAGING LLC
Active
Other names
Northwest MRI
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROSARIO KELLEY (OWNER)
(541) 570-1728
Entity
Organization
Contact information
Practice address
2604 S MAIN RD, LEBANON, OR 97355-2338
(541) 570-1728
(541) 405-4020
Mailing address
2604 S MAIN RD, LEBANON, OR 97355-2338
(541) 570-1728
(541) 405-4020
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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