Organization
FOX VALLEY OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
201 W NORTHLAND AVE, APPLETON, WI 54911-2039
(920) 996-0724
(920) 996-0728
Mailing address
201 W NORTHLAND AVE, APPLETON, WI 54911-2039
(920) 996-0724
(920) 996-0728
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32874400
—
WI
Enumeration date
05/23/2005
Last updated
06/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up