Indiana Open Mri Llc

LBN: Indiana Open Mri Llc
Indiana Open Mri Llc is an health care organization with primary practice located at 1265 Wayne Ave Suite 305, Indiana PA 15701-3501. 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. Indiana Open Mri Llc can be contacted via phone (724) 349-3110, or through Keller, Jace D via phone (724) 925-2280.

Contact Information

Primary practice address
1265 Wayne Ave Suite 305 Indiana PA 15701-3501
Phone: (724) 349-3110
Fax: (724) 349-3149
Website:
Map and Directions
Authorized official contact:
Name: Keller, Jace D
Phone: (724) 925-2280

Health care specialties

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

Profile Details

NPI number 1780655282
LBN Legal business name Indiana Open Mri Llc
DBA Doing business as
Authorized official Keller, Jace D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1780655282 NPPES
Pennsylvania MEDICAID 1012169940001
Pennsylvania Other 1689483

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