National Provider Identifier Database

MEDFUND LLC
Magnetic Resonance Imaging (MRI)


Contact Information

MEDFUND LLC
2803 WRIGHTSBORO RD
STE 18
AUGUSTA, GA30909-3917
Phone: 706-729-9800
Fax: 706-729-8980
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for MEDFUND LLC

NPI Number 1073516134
Legal business name
LBN
MEDFUND LLC
Authorized official MARTIN KERN - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/23/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: SL0069
  • Other: 52070692 BCBS PROVIDER #
  • GA Other: 7487068 AETNA PROVIDER #

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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