National Provider Identifier Database

OPEN MRI OF BRUNSWICK 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

OPEN MRI OF BRUNSWICK LLC
2414 PARKWOOD DR
SUITE 100
BRUNSWICK, GA31520-4779
Phone: 770-451-4040
Fax: 770-451-3003
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging Radiologic Technologist 2471M1202X

* Indicates primary specialty

NPI Profile & details for OPEN MRI OF BRUNSWICK LLC

NPI Number 1972740884
Legal business name
LBN
OPEN MRI OF BRUNSWICK LLC
Authorized official ANTHONY GORDON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/14/2009
Last updated 06/18/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 031432
  • GA Medicaid: 000449765AC
  • GA Other: 202I300099 MEDICARE PROVIDER

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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