National Provider Identifier Database

SOUTHEAST IOWA OPEN MRI
Magnetic Resonance Imaging (MRI)


Contact Information

SOUTHEAST IOWA OPEN MRI
600 N MAIN ST
BURLINGTON, IA52601-5012
Phone: 319-752-8282
Fax: 319-752-9005
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST IOWA OPEN MRI

NPI Number 1528190485
Legal business name
LBN
SOUTHEAST IOWA OPEN MRI
Authorized official MELISSA GRAHAM - (BUSINESS OFFICE SUPERVISOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/09/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 2043539

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.

Reviews for SOUTHEAST IOWA OPEN MRI

There are currently no reviews for SOUTHEAST IOWA OPEN MRI


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