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COMMUNITY OPEN MRI OF AUBURN LLC NPI 1023201316


NPI Information

NPI: 1023201316
Provider Name: COMMUNITY OPEN MRI OF AUBURN LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
2428 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-1491
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COMMUNITY OPEN MRI OF AUBURN LLC is a magnetic resonance imaging (mri) clinic center in Fort Wayne, IN. COMMUNITY OPEN MRI OF AUBURN LLC NPI is 1023201316. The provider is registered as an organization entity type.

The provider's business location address is:

2428 LAKE AVE
FORT WAYNE, IN
ZIP 46805-406
Phone: (260) 422-1491
Fax: (260) 423-1421

The provider's authorized official is John Steven Platusic .
The authorized official title is Coo and has the following contact phone number (804) 363-1007.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 4/9/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200414630AMEDICAIDINDIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.