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JEFFERSON CITY OPEN MRI LLC NPI 1376598292


NPI Information

NPI: 1376598292
Provider Name: JEFFERSON CITY OPEN MRI LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3218 W EDGEWOOD DR
SUITE 200
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-6262
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JEFFERSON CITY OPEN MRI LLC is a radiology clinic center in Jefferson City, MO. JEFFERSON CITY OPEN MRI LLC NPI is 1376598292. The provider is registered as an organization entity type.

The provider's business location address is:

3218 W EDGEWOOD DR
SUITE 200
JEFFERSON CITY, MO
ZIP 65109-951
Phone: (573) 635-6262

The provider's authorized official is Jim Lester .
The authorized official title is President and has the following contact phone number (918) 496-5185.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/29/2008.


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
1261QR0200XClinic/CenterRadiologyYes

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
1P00117646MEDICARE PINMISSOURI
2000047016MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 5/5/2024
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