PROACTIVE MRI LLC – NPI #1104397413
Internal Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Internal Medicine

PROACTIVE MRI LLC is a provider located in FORT MORGAN, CO. NPPES has assigned the NPI number 1104397413 to PROACTIVE MRI LLC on December 12, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RM1200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 2 years ago on Feb 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROACTIVE MRI LLC below.

NPI Profile for
PROACTIVE MRI LLC

NPI Number
1104397413
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROACTIVE MRI LLC
Primary location
329 E PLATTE AVE STE C
FORT MORGAN, CO 80701-3172
Phone: (970) 415-0855 Fax: (720) 247-9072
Mailing address
Same as primary location
Organization Subpart
Yes - PROACTIVE MRI LLC is subpart of another organization.
Authorized Official
LEIF STEPHENS
OWNER
Phone: (970) 441-1117
Updated
Certification Date
Feb 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROACTIVE MRI LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPI1174016331
otherNPICO1215187737
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RM1200X
- Internal Medicine / Magnetic Resonance Imaging (MRI) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.