# WEST PLAINS OPEN MRI LLC

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

## Provider details

- **NPI number:** 1255401592
- **Authorized official:** MICHAEL R MOORE (CEO)
- **Authorized official phone:** (417) 255-2430

## Contact information

- **Practice address:** 805 KENTUCKY, SUITE 5, WEST PLAINS, MO 65775
- **Practice address phone:** (417) 255-2430
- **Practice address fax:** (417) 255-9579
- **Mailing address:** 805 KENTUCKY, SUITE 5, WEST PLAINS, MO 65775
- **Mailing address phone:** (417) 255-2430
- **Mailing address fax:** (417) 255-9579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | NULL | Yes |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | — | Yes |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 196207 | BCBS | MO |
| 01 | — | 474831 | HEALTHLINK | — |
