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Contact Information

TRI-STATE MRI PTR
1802 6TH AVE
HUNTINGTON, WV25703-1519
 Phone: 304-522-6674
 Fax: 304-522-4647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for TRI-STATE MRI PTR

NPI # 1760489256
LBN Legal business name TRI-STATE MRI PTR
Authorized official MARY ROBERTS - (ADMINISTRATIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2005
Last updated 06/23/2008 - About 18 years ago
Identifiers
OH Medicaid 0682677
WV Medicaid 0036348000
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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