Organization Name: | MR IMAGING GROUP LIMITED PARTNERSHIP |
NPI Number: | 1023038635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REY M VEGA (GENERAL MANAGER) |
Mailing Address: | 384 Duenas Drive Tamuning |
State: | GU US |
Postal Code: | 96913 |
Phone Number: | 6716492777 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | SRL NO 706390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |