National Provider Identifier Database

VIDALIA OPEN MRI LLC
Magnetic Resonance Imaging Radiologic Technologist

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

VIDALIA OPEN MRI, LLC
3165 E 1ST ST
VIDALIA, GA30474-8830
Phone: 800-474-1077
Fax:
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging Radiologic Technologist 2471M1202X

* Indicates primary specialty

NPI Profile & details for VIDALIA OPEN MRI, LLC

NPI Number 1164599353
Legal business name
LBN
VIDALIA OPEN MRI, LLC
Authorized official FRANK HARRELSON - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/30/2006
Last updated 08/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 025199
  • GA Medicaid: 000303751E

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 VIDALIA OPEN MRI, LLC

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