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OREGON ADVANCED IMAGING LLC
NPI 1083688402
Radiologic Technologist - Magnetic Resonance Imaging in Medford, OR

Active since February 14, 2006CLIA Certified · 2 labs
881 OHARE PKWY, MEDFORD, OR 97504(541) 773-8661(541) 842-9206 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oregon Advanced Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON ADVANCED IMAGING LLC (NPI 1083688402) is a healthcare organization registered as a magnetic resonance imaging in Medford, Oregon and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Philip Frank Benedetti, Medical Director-board Member, as its authorized official.

NPPES Registry Identity

NPI1083688402
Entity TypeOrganization
Primary Taxonomy2471M1202X
Legal Business NameOREGON ADVANCED IMAGING LLC
Location Address881 OHARE PKWYMedford, OR 97504-4005
Mailing AddressPo Box 1527Medford, OR 97501-0114 · (541) 773-8661 · Fax (541) 842-9206
Phone(541) 773-8661
Fax(541) 842-9206
Organization SubpartNo
Authorized OfficialPhilip Frank BenedettiMedical Director-board Member · (541) 282-6636
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJune 6, 2008
✔ NPI 1083688402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M1202X
Definition
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X
Also ListedRadiologic Technologist · Nuclear Medicine TechnologyTaxonomy 2471N0900X
881 OHARE PKWY, Medford, OR 97504
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Other Identifiers 2

Medicare ID-Type Unspecified133462OR
Medicaid100183OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1077910

Oregon Advanced Imaging · Medford, OR
Active · expires Dec 19, 2027
CLIA Number38D1077910
Laboratory TypeOther
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorMr. Tyrone Holmes
Laboratory Phone(541) 608-0350
Laboratory LocationOregon Advanced Imaging1107 Crater Lake Avenue, Medford, OR 97504
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D1077911

Oregon Advanced Imaging · Medford, OR
Active · expires Dec 19, 2027
CLIA Number38D1077911
Laboratory TypeOther
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorMr. Tyrone Holmes
Laboratory Phone(541) 608-0350
Laboratory LocationOregon Advanced Imaging881 O'hare Parkway, Medford, OR 97504
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OREGON ADVANCED IMAGING, LLC
Radiologic Technologist (Magnetic Resonance Imaging)
881 OHARE PKWY
MEDFORD, OR 97504
Jackson County (541) 608-8791
DR. RAHIM FAZEL D.O.
Radiology (Diagnostic Radiology)
881 OHARE PKWY
MEDFORD, OR 97504
Jackson County (949) 263-8620
ZACHARY RICE HEETER M.D.
Radiology (Vascular & Interventional Radiology)
881 OHARE PKWY
MEDFORD, OR 97504
Jackson County (541) 608-0350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Advanced Imaging LLC's NPI number?

The NPI number for Oregon Advanced Imaging LLC is 1083688402. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Oregon Advanced Imaging LLC located?

Oregon Advanced Imaging LLC is located at 881 Ohare Pkwy, Medford, OR 97504. The listed phone number is (541) 773-8661.

What is Oregon Advanced Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

Does Oregon Advanced Imaging LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Oregon Advanced Imaging LLC was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.