# JEFFERSON CITY OPEN MRI LLC

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

## Provider details

- **NPI number:** 1376598292
- **Authorized official:** MR. JIM LESTER (PRESIDENT)
- **Authorized official phone:** (918) 496-5185

## Contact information

- **Practice address:** 3218 W EDGEWOOD DR, SUITE 200, JEFFERSON CITY, MO 65109-6951
- **Practice address phone:** (573) 635-6262
- **Mailing address:** PO BOX 366, BROKEN ARROW, OK 74013-0366
- **Mailing address phone:** (888) 922-2299

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 05/29/2008