Daytona Mri Llc

LBN: Daytona Mri Llc
Daytona Mri Llc is an health care organization with primary practice located at 125 Mason Ave , Daytona Beach FL 32117-5017. The organization recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Daytona Mri Llc can be contacted via phone (386) 463-4444, or through Wagner, Johnathan Livingston via phone (386) 463-4444.

Contact Information

Primary practice address
125 Mason Ave Daytona Beach FL 32117-5017
Phone: (386) 463-4444
Fax: (386) 313-0304
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Johnathan Livingston Doctor of Chiropractic (DC)
Phone: (386) 463-4444

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1316309800
LBN Legal business name Daytona Mri Llc
DBA Doing business as
Authorized official Wagner, Johnathan Livingston Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2016
Last updated May 31st, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316309800 NPPES
Florida Other 1881628220 NPI TYPE 1

Popular Providers