Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI # | 1558364380 |
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| LBN Legal business name | LOUISVILLE MRI MANAGEMENT LLC | ||||
| Authorized official | MICHELLE DOUGLAS - (CREDENTIALING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/24/2005 | ||||
| Last updated | 06/12/2008 - About 18 years ago | ||||
| Identifiers |
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