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Export Provider Record NPI 1043494164
Crestview Mri
Organization Subpart: NO
Active
NPI Number1043494164
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Radiology
Provider Details
NPI1043494164
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-12-26
Last Updated2025-08-04
Authorized OfficialBart Medlen
owner
Phone: 2565363550
Mailing Address2003a Whitesburg Dr S
Huntsville, AL 35801-4543
United States
Phone: (256) 536-3550
📍 View Map
Primary Practice Address700 Hospital Drive
Crestview, FL 32539
United States
Phone: (850) 398-8573
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QR0200X – Clinic/Center, Radiology
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About NPI 1043494164

Crestview Mri is an organization registered in the CMS NPPES NPI Registry with NPI number 1043494164. The primary specialty listed is Clinic/Center, Radiology. The organization is located in Crestview, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043494164?

NPI 1043494164 belongs to Crestview Mri, a Clinic/Center, Radiology in Crestview, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043494164 active?

The current status of NPI 1043494164 in the NPPES registry is Active. The record was last updated on 2025-08-04.

What specialty is NPI 1043494164?

NPI 1043494164 is classified under the taxonomy Clinic/Center, Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043494164?

You can verify NPI 1043494164 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043494164?

The primary practice address on file for NPI 1043494164 is 700 Hospital Drive, Crestview, FL 32539. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043494164 issued?

NPI 1043494164 was first issued (enumerated) on 2007-12-26. The NPPES record was last updated on 2025-08-04.

Practice Location Map

Crestview Mri is located at 700 Hospital Drive, Crestview, FL. Use the map below to find directions or verify the practice location.

📍 700 Hospital Drive, Crestview, FL 32539  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Crestview Mri. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162