# OPEN MRI OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063605848
- **Authorized official:** JENNIFER JOHNSON (DIRECTOR)
- **Authorized official phone:** (586) 228-4560

## Contact information

- **Practice address:** 411 W 13 MILE RD, SUITE 200, MADISON HEIGHTS, MI 48071-1536
- **Practice address phone:** (248) 585-4569
- **Practice address fax:** (248) 585-4620
- **Mailing address:** 43750 GARFIELD RD, SUITE 211, CLINTON TOWNSHIP, MI 48038-1135
- **Mailing address phone:** (877) 996-9975
- **Mailing address fax:** (586) 228-4533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/29/2007