Brandon Mri

LBN: Mri Associates Of Brandon, Llc
Brandon Mri is an health care organization with primary practice located at 403 S Kings Ave Ste 200R , Brandon FL 33511-5905. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Mri Associates Of Brandon, Llc can be contacted via phone (813) 210-8995, or through Maple, Amanda via phone (727) 787-6900.

Contact Information

Primary practice address
403 S Kings Ave Ste 200R Brandon FL 33511-5905
Fax: (813) 409-2914
Website:
Authorized official contact:
Name: Maple, Amanda

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Radiology 261QR0200X HCC10828 Florida

Profile Details

NPI number 1578018305
LBN Legal business name Mri Associates Of Brandon, Llc
DBA Doing business as Brandon Mri
Authorized official Maple, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2016
Last updated Jul 17th, 2023 - about last year

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 1578018305 NPPES
Florida Other W07M BCBS
Florida MEDICAID 019700100 BCBS

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