# MARIN MAGNETIC RESONANCE IMAGING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marin Advanced Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477892099
- **Authorized official:** MICHAEL P. BELICK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (415) 884-3096

## Contact information

- **Practice address:** 1260 S ELISEO DR, SUITE 101, GREENBRAE, CA 94904-2009
- **Practice address phone:** (415) 461-9033
- **Practice address fax:** (415) 883-0877
- **Mailing address:** PO BOX 6102, NOVATO, CA 94948-6102
- **Mailing address phone:** (415) 884-3404
- **Mailing address fax:** (415) 883-3406

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 04/22/2013