Open Mri Of Brunswick Llc

LBN: Open Mri Of Brunswick Llc
Open Mri Of Brunswick Llc is an health care organization with primary practice located at 2414 Parkwood Dr Suite 100, Brunswick GA 31520-4779. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Open Mri Of Brunswick Llc can be contacted via phone (770) 451-4040, or through Gordon, Anthony K via phone (770) 451-4040.

Contact Information

Primary practice address
2414 Parkwood Dr Suite 100 Brunswick GA 31520-4779
Phone: (770) 451-4040
Fax: (770) 451-3003
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Anthony K Doctor of Medicine (MD)
Phone: (770) 451-4040

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 031432 Georgia

Profile Details

NPI number 1972740884
LBN Legal business name Open Mri Of Brunswick Llc
DBA Doing business as
Authorized official Gordon, Anthony K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2009
Last updated Jun 18th, 2012 - about 12 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 1972740884 NPPES
Georgia Other 202I300099 MEDICARE PROVIDER
Georgia MEDICAID 000449765AC MEDICARE PROVIDER

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