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Organization
JAMESTOWN IMAGING MANAGEMENT LLC
Active
Organization
JAMESTOWN IMAGING MANAGEMENT LLC
Active
Other names
Jamestown Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2608
(716) 665-1198
(716) 665-2035
Mailing address
15 S MAIN ST STE 250, JAMESTOWN, NY 14701-6626
(716) 665-1198
(716) 665-2035
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/23/2005
Last updated
06/12/2008
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