Southeast Georgia Open Mri Llc

LBN: Southeast Georgia Open Mri Llc
Southeast Georgia Open Mri Llc is an health care organization with primary practice located at 1103 Fountain Lake Drive , Brunswick GA 31525. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southeast Georgia Open Mri Llc can be contacted via phone (912) 267-6736, or through Harris, Caroline via phone (912) 267-6736.

Contact Information

Primary practice address
1103 Fountain Lake Drive Brunswick GA 31525
Fax: (912) 262-1922
Website:
Authorized official contact:
Name: Harris, Caroline

Health care specialties

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

Profile Details

NPI number 1255438974
LBN Legal business name Southeast Georgia Open Mri Llc
DBA Doing business as
Authorized official Harris, Caroline
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2006
Last updated Jan 27th, 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 1255438974 NPPES
Georgia MEDICAID 00469169G
Georgia Other 1942294848

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