# PREMIER OPEN MRI, INC.

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

## Provider details

- **NPI number:** 1457343204
- **Authorized official:** TONI COOPER (DELEGATED OFFICIAL)
- **Authorized official phone:** (754) 206-6198

## Contact information

- **Practice address:** 500 S MAIN ST, WICHITA, KS 67202-3722
- **Practice address phone:** (316) 262-1103
- **Practice address fax:** (316) 262-1203
- **Mailing address:** 500 S MAIN ST, WICHITA, KS 67202-3722
- **Mailing address phone:** (316) 262-1103
- **Mailing address fax:** (316) 262-1203

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 11/10/2023