Cedar Lake Mri

LBN: Open Mri, Llc
Cedar Lake Mri is an health care organization with primary practice located at 1720C Medical Park Dr , Biloxi MS 39532-2131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Open Mri, Llc can be contacted via phone (228) 354-0251, or through Penberg, Randall via phone (228) 818-0563.

Contact Information

Primary practice address
1720C Medical Park Dr Biloxi MS 39532-2131
Phone: (228) 354-0251
Fax: (228) 396-3550
Website:
Map and Directions
Authorized official contact:
Name: Penberg, Randall
Phone: (228) 818-0563

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Mississippi

Profile Details

NPI number 1801892831
LBN Legal business name Open Mri, Llc
DBA Doing business as Cedar Lake Mri
Authorized official Penberg, Randall
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
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 1801892831 NPPES
Mississippi MEDICAID 08882814

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