National Provider Identifier Database

OPEN MRI OF TIFTON LLC
Magnetic Resonance Imaging (MRI)


Contact Information

OPEN MRI OF TIFTON LLC
1401 TIFT AVE N STE E
TIFTON, GA31794-3577
Phone: 229-387-6799
Fax: 229-387-6791
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for OPEN MRI OF TIFTON LLC

NPI Number 1679542526
Legal business name
LBN
OPEN MRI OF TIFTON LLC
Authorized official PETER HOLLIDAY - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/14/2006
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003144064A
  • GA Medicaid: 300035136B

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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