Southern Open Imaging Center

LBN: Southern Open Mri Inc
Southern Open Imaging Center is an health care organization with primary practice located at 289 Sw Stonegate Ter Suite 102, Lake City FL 32024-3456. The organization recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging is the primary health care specialty. Southern Open Mri Inc can be contacted via phone (386) 755-4788, or through Delauz-Sami, Lucia M via phone (386) 755-4788.

Contact Information

Primary practice address
289 Sw Stonegate Ter Suite 102 Lake City FL 32024-3456
Phone: (386) 755-4788
Fax: (386) 755-9980
Website:
Map and Directions
Authorized official contact:
Name: Delauz-Sami, Lucia M RT(R)
Phone: (386) 755-4788

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X

Profile Details

NPI number 1194795658
LBN Legal business name Southern Open Mri Inc
DBA Doing business as Southern Open Imaging Center
Authorized official Delauz-Sami, Lucia M RT(R)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 19th, 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 1194795658 NPPES
Florida Other 5259706 AETNA PROVIDER NUMBER
Florida Other B796 AETNA PROVIDER NUMBER
Florida Other V2546 AETNA PROVIDER NUMBER
Florida Other 1736853 AETNA PROVIDER NUMBER
Florida Other 271288 AETNA PROVIDER NUMBER

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