Organization Name: | MAGNETIC RESONANCE SERVICES PTR |
NPI Number: | 1093767113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY JOHN LUCAS (PRESIDENT) |
Mailing Address: | 1010 4th St Sw Suite 100 Mason City |
State: | IA US |
Postal Code: | 504012857 |
Phone Number: | 6414240102 |
Fax Number: | 6414248059 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 12/29/2011 |
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: |