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Organization
1ST OPEN MRI.LLC
Active
Organization
1ST OPEN MRI.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ACOSTA (PRESIDENT)
(305) 984-5388
Entity
Organization
Contact information
Practice address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 541-9595
(305) 541-9882
Mailing address
1455 SW 27TH AVE, MIAMI, FL 33145-1234
(305) 541-9595
(305) 541-9882
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
CRT45704
FL
261QR0208X
Mobile Radiology Clinic/Center
CRT45704
FL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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