National Provider Identifier Database

TRI STATE MRI PTR
Magnetic Resonance Imaging (MRI)


Contact Information

TRI-STATE MRI PTR
1802 6TH AVE
HUNTINGTON, WV25703-1519
Phone: 304-522-6674
Fax: 304-522-4647
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for TRI-STATE MRI PTR

NPI Number 1760489256
Legal business name
LBN
TRI-STATE MRI PTR
Authorized official MARY ROBERTS - (ADMINISTRATIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/30/2005
Last updated 06/23/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 0682677
  • WV Medicaid: 0036348000

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 TRI-STATE MRI PTR

There are currently no reviews for TRI-STATE MRI PTR


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