# OPEN MRI OF SYLACAUGA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open MRI of Sylacauga
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417928409
- **Authorized official:** MRS. CONNIE MARTIN (DIRECTOR OF BILLING)
- **Authorized official phone:** (205) 995-9388

## Contact information

- **Practice address:** 395 JAMES PAYTON BLVD, SYLACAUGA, AL 35150-8064
- **Practice address phone:** (256) 207-2686
- **Practice address fax:** (256) 207-2551
- **Mailing address:** PO BOX 933108, ATLANTA, GA 31193-3108
- **Mailing address phone:** (205) 995-9899
- **Mailing address fax:** (205) 995-1255

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 02/17/2009