Lakeside Open Mri Of Tavares

LBN: Open Mri Of Orlando Inc
Lakeside Open Mri Of Tavares is an health care organization with primary practice located at 1879 Nightingale Ln Suite A-1, Tavares FL 32778-4363. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Open Mri Of Orlando Inc can be contacted via phone (352) 742-9211, or through Woodburn, Shaun P via phone (352) 742-9211.

Contact Information

Primary practice address
1879 Nightingale Ln Suite A-1 Tavares FL 32778-4363
Phone: (352) 742-9211
Fax: (352) 742-9406
Website:
Map and Directions
Authorized official contact:
Name: Woodburn, Shaun P
Phone: (352) 742-9211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X HCC5152 Florida

Profile Details

NPI number 1467491993
LBN Legal business name Open Mri Of Orlando Inc
DBA Doing business as Lakeside Open Mri Of Tavares
Authorized official Woodburn, Shaun P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
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 1467491993 NPPES
Florida Other V2544 BLUE CROSS AND BLUE SHEIL

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