National Provider Identifier Database

OPEN MRI OF LAGRANGE LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

OPEN MRI OF LAGRANGE LLC
1805 VERNON RD
SUITE D
LAGRANGE, GA30240-4041
Phone: 706-882-1399
Fax: 706-882-1421
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for OPEN MRI OF LAGRANGE LLC

NPI Number 1639204142
Legal business name
LBN
OPEN MRI OF LAGRANGE LLC
Authorized official ROBERT COMERFORD - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 00599189B

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 OPEN MRI OF LAGRANGE LLC

There are currently no reviews for OPEN MRI OF LAGRANGE LLC


NPIdb - Home
v2.201