# NORTHLAND OPEN MRI LLC

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

## Provider details

- **NPI number:** 1225009731
- **Authorized official:** MR. JACE D KELLER (TREASURER)
- **Authorized official phone:** (724) 925-2280

## Contact information

- **Practice address:** 5844 NW BARRY RD, SUITE 120, KANSAS CITY, MO 64154-1465
- **Practice address phone:** (816) 584-1674
- **Practice address fax:** (816) 584-0442
- **Mailing address:** PO BOX 450, NEW STANTON, PA 15672-0450
- **Mailing address phone:** (724) 925-2330
- **Mailing address fax:** (724) 925-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | N/A | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020