Organization Name: | MRI TODAY, LLC |
NPI Number: | 1194771170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL D BARBER (ADMINISTRATOR) |
Mailing Address: | 100 Coy Burgess Loop Defuniak Springs |
State: | FL US |
Postal Code: | 324353716 |
Phone Number: | 8509516200 |
Fax Number: | 8508923567 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | HCC6546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |