# OPEN MRI AT EAGLE EYE RIVERSIDE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558664565
- **Authorized official:** MARK IOELE (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (951) 413-0979

## Contact information

- **Practice address:** 6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
- **Practice address phone:** (951) 413-0979
- **Mailing address:** PO BOX 2926, SANTA FE SPRINGS, CA 90670-0926
- **Mailing address phone:** (951) 413-0979

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 12/13/2010