Open Mri Of Connellsville Llc
LBN: Open Mri Of Connellsville Llc
Open Mri Of Connellsville Llc is an health care organization with primary practice located at 2616 Memorial Blvd , Connellsville PA 15425-1418. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
Open Mri Of Connellsville Llc can be contacted via phone (724) 620-2812, or through Keller, Jace D via phone (724) 925-2280.
Contact Information
Primary practice address
2616 Memorial Blvd
Connellsville PA 15425-1418
Phone: (724) 620-2812
Fax: (724) 620-2815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1558347567 |
|---|---|
| LBN Legal business name | Open Mri Of Connellsville Llc |
| DBA Doing business as | |
| Authorized official | Keller, Jace D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558347567 | NPPES |
| Pennsylvania | Other | 011682 | HIGHMARK BCBS |
| Pennsylvania | MEDICAID | 0018227030003 | HIGHMARK BCBS |
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