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OPEN MRI OF BRUNSWICK LLC NPI 1972740884


NPI Information

NPI: 1972740884
Provider Name: OPEN MRI OF BRUNSWICK LLC
Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
2414 PARKWOOD DR
SUITE 100
BRUNSWICK, GA
ZIP 31520
Phone: (770) 451-4040
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OPEN MRI OF BRUNSWICK LLC is a magnetic resonance imaging radiologic technologist in Brunswick, GA. The provider is a radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care. OPEN MRI OF BRUNSWICK LLC NPI is 1972740884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2414 PARKWOOD DR
SUITE 100
BRUNSWICK, GA
ZIP 31520-779
Phone: (770) 451-4040
Fax: (770) 451-3003

The provider's authorized official is Anthony K Gordon .
The authorized official title is Owner and has the following contact phone number (770) 451-4040.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 6/18/2012.


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
12471M1202XRadiologic TechnologistMagnetic Resonance Imaging031432GEORGIAYes

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
1202I300099OTHERGEORGIAMEDICARE PROVIDER
2E19660MEDICARE UPINGEORGIA
3000449765ACMEDICAIDGEORGIA
4202G300099MEDICARE PINGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.