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Organization
TITAN MRI LLC
Active
Organization
TITAN MRI LLC
Active
Parent organization
TITAN MRI LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITAN MRI LLC
Authorized official
JOE BOLTON (MEMBER/OWNER)
(352) 672-2246
Entity
Organization
Contact information
Practice address
289 SW STONEGATE TER STE 102, LAKE CITY, FL 32024-3457
(386) 245-6644
Mailing address
2605 NW 75TH ST, GAINESVILLE, FL 32606-6314
(352) 672-2246
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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