# TITAN MRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TITAN MRI LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548864333
- **Legal business name:** TITAN MRI LLC
- **Authorized official:** JOE BOLTON (MEMBER/OWNER)
- **Authorized official phone:** (352) 672-2246

## Contact information

- **Practice address:** 289 SW STONEGATE TER STE 102, LAKE CITY, FL 32024-3457
- **Practice address phone:** (386) 245-6644
- **Mailing address:** 2605 NW 75TH ST, GAINESVILLE, FL 32606-6314
- **Mailing address phone:** (352) 672-2246

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020