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Organization
OPEN MAGNETIC IMAGING INC
Active
Organization
OPEN MAGNETIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON ACOSTA (CEO)
(954) 888-6411
Entity
Organization
Contact information
Practice address
2200 N COMMERCE PARKWAY, STE 100, WESTON, FL 33326
(954) 888-6411
(954) 888-6414
Mailing address
2200 N COMMERCE PARKWAY, STE 100, WESTON, FL 33326
(954) 888-6411
(954) 888-6414
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212732
AMERIGROUP
FL
01
—
V2421
BCBS-PL
FL
01
—
V2470
BCBS-W
FL
01
—
V2533
BCBS-BB
FL
01
—
V2534
BCBS-K
FL
01
—
V2539
BCBS-CS
FL
01
—
V2540
BCBS-PP
FL
01
—
V2549
BCBS-ML
FL
01
—
V2550
BCBS-WB
FL
01
—
V2551
BCBS-JAX
FL
01
—
V2552
BCBS-AV
FL
01
—
V2553
BCBS-J
FL
01
—
V2554
BCBS-FTL
FL
01
—
V2555
BCBS-CG
FL
01
—
V2596
BCBS-PB
FL
01
—
V2691
BCBS-OP
FL
Enumeration date
04/04/2006
Last updated
04/02/2008
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