PROACTIVE MRI LLC NPI 1104397413

NPI Information

PROACTIVE MRI LLC is a magnetic resonance imaging (mri) internal medicine in Fort Morgan, CO. The provider is the National Uniform Claim Committee (NUCC) recommends code 207RM1200X not be used. Choose a more appropriate code. PROACTIVE MRI LLC NPI is 1104397413. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

329 E PLATTE AVE STE C
FORT MORGAN, CO
ZIP 80701-172
Phone: (970) 415-0855
Fax: (720) 247-9072

The provider's authorized official is Leif Stephens .
The authorized official title is Owner and has the following contact phone number (970) 441-1117.

The enumeration date for this NPI number is 12/12/2018 and was last updated on 2/23/2024.

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:

Other Identifiers

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

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.