National Provider Identifier Database

MAGNETIC RESONANCE SERVICES PTR
Magnetic Resonance Imaging (MRI)


Contact Information

MAGNETIC RESONANCE SERVICES PTR
1010 4TH ST SW
SUITE 100
MASON CITY, IA50401-2857
Phone: 641-424-0102
Fax: 641-424-8059
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for MAGNETIC RESONANCE SERVICES PTR

NPI Number 1093767113
Legal business name
LBN
MAGNETIC RESONANCE SERVICES PTR
Authorized official TIMOTHY LUCAS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/17/2006
Last updated 12/29/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0288787
  • IA Other: 34523 WELLMARK BCBS OF IA

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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