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Contact Information

OPEN MRI, LLC
14245 DEDEAUX RD
GULFPORT, MS39503-3369
 Phone: 228-314-7226
 Fax: 228-314-7227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for OPEN MRI, LLC

NPI Number 1265457030
LBN Legal business name OPEN MRI, LLC
Authorized official WILLIAM HENRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 07/23/2008 - About 18 years ago
Identifiers
MS Medicaid 03733573
MS Medicaid 10410
MS Medicaid 16169
Other 1154338879 DIANNA RAGULA
Other 1831232479 DR RICHARD HAYS NPI
Other 1144363771 DR WILLIAM HENRY NPI
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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