OPENSIDED MRI OF LOUISVILLE, LLC; NPI #1609811769

Contact Information

OPENSIDED MRI OF LOUISVILLE, LLC

2027 JEFFERSONVILLE COMMONS DR
JEFFERSONVILLE, IN 47130

Phone: 812-282-0167
Fax: 812-282-3974
Website:

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

Indicates primary specialty

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NPI Profile & details for OPENSIDED MRI OF LOUISVILLE, LLC

NPI Number 1609811769

LBN Legal business name OPENSIDED MRI OF LOUISVILLE, LLC

Authorized official JOHN PLATUSIC - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/20/2006

Last updated 04/19/2021 - About 5 years ago

Identifiers

IN	Medicaid	100346500
IN	Medicaid	300024939
IN	Other	247700	MEDICARE RAILROAD

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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