Organization Name: | OPEN MRI OF MARSHALL LLC |
NPI Number: | 1033173687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER O HOLLIDAY (DIRECTOR) |
Mailing Address: | 12119 Us Hwy 431 South Guntersville |
State: | AL US |
Postal Code: | 35976 |
Phone Number: | 2568944440 |
Fax Number: | 2568944474 |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 11/28/2007 |
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: |