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Organization
STAND UP OPEN MRI OF INDIANA LLC
Active
Organization
STAND UP OPEN MRI OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BRYANT MONTGOMERY M.D. (PHYSICIAN/OWNER)
(850) 433-0674
Entity
Organization
Contact information
Practice address
509 RIDGE RD, MUNSTER, IN 46321-1643
(850) 479-1805
(850) 479-1829
Mailing address
P.O. BOX 270543, TAMPA, FL 33688-0543
(219) 513-1000
(219) 513-1090
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/11/2014
Last updated
11/12/2014
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