National Provider Identifier Database

BLOOMINGDALE OPEN MRI LLC
Radiology


Contact Information

BLOOMINGDALE OPEN MRI, LLC
303 E ARMY TRAIL RD
SUITE 110
BLOOMINGDALE, IL60108-2169
Phone: 630-529-9400
Fax: 630-529-9401
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for BLOOMINGDALE OPEN MRI, LLC

NPI Number 1891727988
Legal business name
LBN
BLOOMINGDALE OPEN MRI, LLC
Authorized official EDWIN SAGE - (MEMBER MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 01/11/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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