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FAYETTEVILLE OPEN MRI LLC NPI 1770532269


NPI Information

NPI: 1770532269
Provider Name: FAYETTEVILLE OPEN MRI, LLC

Doing Business As: OPEN MRI FAYETTEVILLE AN AFFILIATE OF DIAGNOSTIC HEALTH

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
3186 VILLAGE DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-2209
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FAYETTEVILLE OPEN MRI, LLC is a physiological laboratory in Fayetteville, NC. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. FAYETTEVILLE OPEN MRI, LLC NPI is 1770532269. The provider is registered as an organization entity type.
The provider Is Doing Business As Open Mri Fayetteville An Affiliate Of Diagnostic Health.

The provider's business location address is:

3186 VILLAGE DR
FAYETTEVILLE, NC
ZIP 28304-865
Phone: (910) 323-2209
Fax: (910) 323-9680

The provider's authorized official is Sheri Miller .
The authorized official title is Credentialing Specialist and has the following contact phone number (205) 685-5000.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 10/25/2007.


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
1293D00000XPhysiological LaboratoryYes

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
12881741MEDICARE PINNORTH CAROLINA

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

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