| Organization Name: | OPEN MRI OF JACKSONVILLE LLC |
| NPI Number: | 1760527873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD R ROMANELLI (MD) |
| Mailing Address: | 1600 W Walnut St Jacksonville |
| State: | IL US |
| Postal Code: | 626501136 |
| Phone Number: | 2172435831 |
| Fax Number: | 2172455420 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 01495461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |