Organization Name: | OPP IMAGING SERVICES LLC |
NPI Number: | 1013992023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANA WYATT (CFO) |
Mailing Address: | 702 N Main St Opp |
State: | AL US |
Postal Code: | 364671626 |
Phone Number: | 3344931103 |
Fax Number: | 3344931105 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |