OPEN MRI OF JACKSONVILLE LLC; NPI #1538279104

Contact Information

OPEN MRI OF JACKSONVILLE LLC

1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136

Phone: 217-245-0650
Fax: 217-245-0840
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for OPEN MRI OF JACKSONVILLE LLC

NPI # 1538279104

LBN Legal business name OPEN MRI OF JACKSONVILLE LLC

Authorized official RONALD ROMANELLI - (MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

Last updated 07/21/2022 - About 4 years ago

Identifiers

Other

P00403181

RR MEDICARE

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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