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ENTERPRISE OPEN MRI LLC NPI 1740204346


NPI Information

NPI: 1740204346
Provider Name: ENTERPRISE OPEN MRI, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
100 PROFESSIONAL LANE SUITE B
ENTERPRISE, AL
ZIP 36330
Phone: (334) 308-1524
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ENTERPRISE OPEN MRI, LLC is a magnetic resonance imaging (mri) clinic center in Enterprise, AL. ENTERPRISE OPEN MRI, LLC NPI is 1740204346. The provider is registered as an organization entity type.

The provider's business location address is:

100 PROFESSIONAL LANE SUITE B
ENTERPRISE, AL
ZIP 36330
Phone: (334) 308-1524
Fax: (334) 308-1528

The provider's authorized official is John C. Tomberlin .
The authorized official title is Owner and has the following contact phone number (334) 684-7156.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 12/9/2010.


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
1261QM1200XClinic/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
1051519465OTHERBLUE CROSS
2051554517MEDICARE ID-TYPE UNSPECIFIEDALABAMA
3051554517MEDICAIDALABAMA

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

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