# SOUTH MIAMI OPEN MRI LLC

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

## Provider details

- **NPI number:** 1205497260
- **Authorized official:** ROLAND J GRASS (MANAGER)
- **Authorized official phone:** (305) 665-4674

## Contact information

- **Practice address:** 88 NE 168TH ST, NORTH MIAMI BEACH, FL 33162-3410
- **Practice address phone:** (305) 665-4674
- **Practice address fax:** (305) 669-4674
- **Mailing address:** 6161 SUNSET DR STE A, SOUTH MIAMI, FL 33143-5045
- **Mailing address phone:** (305) 665-4674
- **Mailing address fax:** (305) 669-4674

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 04/02/2025
