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VIDALIA OPEN MRI LLC NPI 1164599353


NPI Information

NPI: 1164599353
Provider Name: VIDALIA OPEN MRI, LLC
Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
3165 E 1ST ST
VIDALIA, GA
ZIP 30474
Phone: (800) 474-1077
Get Directions

VIDALIA OPEN MRI, LLC is a magnetic resonance imaging radiologic technologist in Vidalia, GA. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. VIDALIA OPEN MRI, LLC NPI is 1164599353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3165 E 1ST ST
VIDALIA, GA
ZIP 30474-830
Phone: (800) 474-1077

The provider's authorized official is Frank Harrelson .
The authorized official title is Office Manager and has the following contact phone number (800) 474-1077.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471M1202XRadiologic TechnologistMagnetic Resonance Imaging025199GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000303751EMEDICAIDGEORGIA
247BBBFSMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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