INNOVATIVE OPEN MRI OF PENSACOLA LLC NPI 1093087124

NPI Information

  • NPI: 1093087124
  • Provider Name: INNOVATIVE OPEN MRI OF PENSACOLA LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Former Legal Business Name: STAND UP OPEN MRI OF PENSACOLA LLC
  • Address: 890 S. PALAFOX STREET
    SUITE 110
    PENSACOLA, FL
    ZIP 32524
  • Phone: (850) 433-0674

Map and Directions

Get Directions

NPI Details

INNOVATIVE OPEN MRI OF PENSACOLA LLC is a magnetic resonance imaging (mri) clinic center in Pensacola, FL. INNOVATIVE OPEN MRI OF PENSACOLA LLC NPI is 1093087124. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Stand Up Open Mri Of Pensacola Llc.

The provider's business location address is:

890 S. PALAFOX STREET
SUITE 110
PENSACOLA, FL
ZIP 32524-905
Phone: (850) 433-0674
Fax: (850) 433-5965

The provider's authorized official is Aaron Bryant Montgomery .
The authorized official title is Owner,physician and has the following contact phone number (850) 433-0674.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)

The enumeration date for this NPI number is 2/6/2012 and was last updated on 9/15/2015.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)FLORIDAYes

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
1HA732AMEDICARE PINFLORIDA

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: 3/30/2025

NPI Synchronization or Removal

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.