Open Mri Of Lake Havasu Llc

LBN: Open Mri Of Lake Havasu Llc
Open Mri Of Lake Havasu Llc is an health care organization with primary practice located at 2082 Mesquite Ave Suite 114, Lake Havasu City AZ 86403-6717. 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 Of Lake Havasu Llc can be contacted via phone (928) 505-1511, or through Harris, Tommy R via phone (256) 990-2629.

Contact Information

Primary practice address
2082 Mesquite Ave Suite 114 Lake Havasu City AZ 86403-6717
Phone: (928) 505-1511
Fax: (928) 505-1541
Website:
Map and Directions
Authorized official contact:
Name: Harris, Tommy R
Phone: (256) 990-2629

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OTC3930 Arizona

Profile Details

NPI number 1669438867
LBN Legal business name Open Mri Of Lake Havasu Llc
DBA Doing business as
Authorized official Harris, Tommy R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 22nd, 2008 - about 16 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 1669438867 NPPES
Arizona MEDICAID 089276
Arizona Other OTC3930
Arizona Other AZ0155710
Arizona Other P00308294

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