Ft Walton Open Mri Llc

LBN: Ft Walton Open Mri Llc
Ft Walton Open Mri Llc is an health care organization with primary practice located at 1112 Hospital Rd Suite B, Fort Walton Beach FL 32547-6742. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Ft Walton Open Mri Llc can be contacted via phone (850) 862-7070, or through Freudenberger, Keith via phone (850) 862-7070.

Contact Information

Primary practice address
1112 Hospital Rd Suite B Fort Walton Beach FL 32547-6742
Phone: (850) 862-7070
Fax: (850) 862-0900
Website:
Map and Directions
Authorized official contact:
Name: Freudenberger, Keith
Phone: (850) 862-7070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X HCC4491 Florida

Profile Details

NPI number 1992757678
LBN Legal business name Ft Walton Open Mri Llc
DBA Doing business as
Authorized official Freudenberger, Keith
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992757678 NPPES
Florida Other V2836 BCBS FL PROVIDER NO.
Florida Other 7010185 BCBS FL PROVIDER NO.

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