| Organization Name: | REGIONAL OPEN MRI, LLC |
| NPI Number: | 1528128790 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACI BROWN (DIRECTOR OF BILLING) |
| Mailing Address: | 1014 Augusta Road Suite 1 Thomson |
| State: | GA US |
| Postal Code: | 308248498 |
| Phone Number: | 7065954674 |
| Fax Number: | 7065970088 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 12/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 041535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |