Organization Name: | OPEN MRI OF MICHIGAN |
NPI Number: | 1063605848 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER JOHNSON (DIRECTOR) |
Mailing Address: | 411 W 13 Mile Rd Suite 200 Madison Heights |
State: | MI US |
Postal Code: | 480711536 |
Phone Number: | 2485854569 |
Fax Number: | 2485854620 |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |