| Organization Name: | OPEN MRI OF COLES COUNTY LLC |
| NPI Number: | 1013931377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNA D RUNGE (PRESIDENT CEO) |
| Mailing Address: | 100 Professional Plaza Ste 1a Mattoon |
| State: | IL US |
| Postal Code: | 61938 |
| Phone Number: | 2173450700 |
| Fax Number: | 2173450712 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RM1200X |
| License Number: | 33724466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |