1093783292 NPI number — OPEN MRI OF OKEECHOBEE LLC

Table of content: (NPI 1093783292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093783292 NPI number — OPEN MRI OF OKEECHOBEE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPEN MRI OF OKEECHOBEE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093783292
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 NE 3RD ST
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
OKEECHOBEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34972-2944
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-824-6736
Provider Business Mailing Address Fax Number:
863-824-6737

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 NE 3RD ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
OKEECHOBEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34972-2944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-824-6736
Provider Business Practice Location Address Fax Number:
863-824-6737
Provider Enumeration Date:
03/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOODY
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
INSURANCE BILLING SPECIALIST
Authorized Official Telephone Number:
863-824-6736

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: V2486 . This is a "BCBS FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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