| Organization Name: | TRI HOSPITAL MRI CENTER |
| NPI Number: | 1063581353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY LEROY (PRESIDENT) |
| Mailing Address: | 1221 Pine Grove Avenue Port Huron |
| State: | MI US |
| Postal Code: | 48060 |
| Phone Number: | 8109872428 |
| Fax Number: | 8109879670 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 02/01/2012 |
| 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: | |