SOUTHEAST IOWA OPEN MRI; NPI #1528190485

Contact Information

SOUTHEAST IOWA OPEN MRI

600 N MAIN ST
BURLINGTON, IA 52601-5012

Phone: 319-752-8282
Fax: 319-752-9005
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Magnetic Resonance Imaging (MRI)	261QM1200X

Indicates primary specialty

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NPI Profile & details for SOUTHEAST IOWA OPEN MRI

NPI # 1528190485

LBN Legal business name SOUTHEAST IOWA OPEN MRI

Authorized official MELISSA GRAHAM - (BUSINESS OFFICE SUPERVISOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/09/2007

Last updated 07/21/2022 - About 4 years ago

Identifiers

Medicaid

2043539

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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