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Organization
OPEN MRI AT EAGLE EYE RIVERSIDE, LLC
Active
Organization
OPEN MRI AT EAGLE EYE RIVERSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK IOELE (EXECUTIVE ADMINISTRATOR)
(951) 413-0979
Entity
Organization
Contact information
Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
(951) 413-0979
Mailing address
PO BOX 2926, SANTA FE SPRINGS, CA 90670-0926
(951) 413-0979
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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