Airis Open Mri Of Marianna
LBN: Ft Walton Open Mri Llc
Airis Open Mri Of Marianna is an health care organization with primary practice located at 3015 Jefferson St Suite E, Marianna FL 32446-2339. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
Ft Walton Open Mri Llc can be contacted via phone (850) 526-2496, or through Freudenberger, Keith via phone (850) 862-7070.
Contact Information
Primary practice address
3015 Jefferson St Suite E
Marianna FL 32446-2339
Phone: (850) 526-2496
Fax: (850) 526-3853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | HCC4660 | Florida |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | HCC4660 | Florida |
Profile Details
| NPI number | 1760435267 |
|---|---|
| LBN Legal business name | Ft Walton Open Mri Llc |
| DBA Doing business as | Airis Open Mri Of Marianna |
| Authorized official | Freudenberger, Keith |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760435267 | NPPES |
| Florida | Other | V2838 | BCBS FL PROVIDER NO. |
| Florida | Other | 7010185 | BCBS FL PROVIDER NO. |
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