# INNOVATIVE OPEN MRI OF PENSACOLA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stand Up Open MRI of Pensacola LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093087124
- **Authorized official:** DR. AARON BRYANT MONTGOMERY M.D. (OWNER,PHYSICIAN)
- **Authorized official phone:** (850) 433-0674

## Contact information

- **Practice address:** 890 S. PALAFOX STREET, SUITE 110, PENSACOLA, FL 32524-5905
- **Practice address phone:** (850) 433-0674
- **Practice address fax:** (850) 433-5965
- **Mailing address:** 890 S. PALAFOX STREET, SUITE 110, PENSACOLA, FL 32524-5905
- **Mailing address phone:** (850) 433-0674
- **Mailing address fax:** (850) 433-5965

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 09/15/2015