Organization Name: | MRI AT BELFAIR LLC |
NPI Number: | 1053399378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT JOSEPH BORELLI (PRESIDENT) |
Mailing Address: | 18 Clarks Summit Dr Bluffton |
State: | SC US |
Postal Code: | 299109998 |
Phone Number: | 8438159700 |
Fax Number: | 8438159701 |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 12/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 20797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |