| Organization Name: | HALLANDALE OPEN MRI, LLC |
| NPI Number: | 1831296060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES V. VIRGILIO (PRESIDENT) |
| Mailing Address: | 3101 W Hallandale Beach Blvd Suite 101 Hallandale |
| State: | FL US |
| Postal Code: | 330095160 |
| Phone Number: | 9549838382 |
| Fax Number: | 9549838665 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 04/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | HCC5496 |
| 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: | |