INNOVATIVE OPEN MRI OF PENSACOLA LLC NPI 1093087124

NPI Information

NPI: 1093087124
Provider Name: INNOVATIVE OPEN MRI OF PENSACOLA LLC

Former Legal Business Name: STAND UP OPEN MRI OF PENSACOLA LLC

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
890 S. PALAFOX STREET
SUITE 110
PENSACOLA, FL
ZIP 32524
Phone: (850) 433-0674
Get Directions

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 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
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)		FLORIDA	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HA732A	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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