| Organization Name: | VERMONT OPEN MRI |
| NPI Number: | 1083904114 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD C KUMMER (MANAGING MEMBER) |
| Mailing Address: | 620 Hinesburg Rd South Burlington |
| State: | VT US |
| Postal Code: | 054036500 |
| Phone Number: | 8028631249 |
| Fax Number: | 8028639979 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 09/07/2011 |
| 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: | |