OPEN MRI OF JACKSON LLC NPI 1265528467

NPI Information

NPI: 1265528467
Provider Name: OPEN MRI OF JACKSON, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1 LAYFAIR DR
SUITE 315
FLOWOOD, MS
ZIP 39232
Phone: (601) 936-6500
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OPEN MRI OF JACKSON, LLC is a radiology clinic center in Flowood, MS. OPEN MRI OF JACKSON, LLC NPI is 1265528467. The provider is registered as an organization entity type.

The provider's business location address is:

1 LAYFAIR DR
SUITE 315
FLOWOOD, MS
ZIP 39232-717
Phone: (601) 936-6500
Fax: (601) 936-2027

The provider's authorized official is David Blumenthal .
The authorized official title is President and has the following contact phone number (601) 936-6500.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 1/17/2012.

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	261QR0200X	Clinic/Center	Radiology		MISSISSIPPI	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	=========	OTHER	MISSISSIPPI	BLUE CROSS & BLUE SHIELD
2	470000023	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
3	00123906	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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