Organization Name: | MRI CENTER LLC |
NPI Number: | 1003906413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACK H AVERY (DIRECTOR OWNER) |
Mailing Address: | 3510 Ptarmigan Ln Helena |
State: | MT US |
Postal Code: | 596020553 |
Phone Number: | 4064493750 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M1202X |
License Number: | 1019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Magnetic Resonance Imaging |
Taxonomy Definition: |