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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID O20240801002240 resolves to a single NPI record. Open the full profile for complete detail.

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UA
NPI · 1568531242 · Active
Union Avenue Open Mri LLC
Radiology Clinic · Tacoma, Washington
Active
NPI
1568531242
Enrollment ID
O20240801002240
Taxonomy
261QR0200X
Type
Part B Supplier - Clinic/Group Practice
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Medicare enrollment

This provider holds 28 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.