# NORTHWEST MRI, LLC

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

## Provider details

- **NPI number:** 1760634794
- **Authorized official:** MR. CHARLES CLARK (MANAGER)
- **Authorized official phone:** (614) 595-8867

## Contact information

- **Practice address:** 4995 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-3543
- **Practice address phone:** (614) 595-8867
- **Mailing address:** 4995 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-3543
- **Mailing address phone:** (614) 595-8867

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 10/22/2008