| Organization Name: | OPEN MRI OF DELRAY LLC |
| NPI Number: | 1003804816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH LHOTKA (OWNER) |
| Mailing Address: | 15127 Jog Rd Suite 101 Delray Beach |
| State: | FL US |
| Postal Code: | 334461251 |
| Phone Number: | 5613815164 |
| Fax Number: | 5613815165 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | HCC4286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |