TRI COUNTY OPEN MRI LLC, Diagnostic Radiology RUSSELL SPRINGS, KY

Contact Information

TRI COUNTY OPEN MRI, LLC

236 JOE PETTY RD
RUSSELL SPRINGS, KY 42642

Phone: 270-866-9799
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for TRI COUNTY OPEN MRI LLC · (Female)

NPI #	`1780733261`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/10/2007
Last updated	02/10/2012 - About 14 years ago
Sole proprietor ¹	Not specified
Identifiers	KY License # 14879 KY Medicaid 65941619
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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