# SOUTH FLORIDA MOBILE OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Diagnostic Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285882910
- **Authorized official:** FORREST ALLEN WRIGHT RT (R) (MR) (OWNER/PRESIDENT)
- **Authorized official phone:** (305) 360-3220

## Contact information

- **Practice address:** 4348 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5718
- **Practice address phone:** (561) 641-6093
- **Practice address fax:** (561) 641-6094
- **Mailing address:** 4348 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5718
- **Mailing address phone:** (561) 641-6093
- **Mailing address fax:** (561) 641-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | CRT54864 | FL | Yes |

## Other

- **Enumeration date:** 09/06/2008
- **Last updated:** 10/28/2016
