# MRI IMAGING SPECIALISTS CORP

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

## Provider details

- **NPI number:** 1720340995
- **Authorized official:** MR. MIGUEL LEON (CEO)
- **Authorized official phone:** (678) 969-0904

## Contact information

- **Practice address:** 6760 JIMMY CARTER BLVD, NORCROSS, GA 30071-1278
- **Practice address phone:** (678) 969-0904
- **Practice address fax:** (678) 969-0908
- **Mailing address:** 6760 JIMMY CARTER BLVD, NORCROSS, GA 30071-1278
- **Mailing address phone:** (678) 969-0904
- **Mailing address fax:** (678) 969-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2012
- **Last updated:** 07/27/2016