# OPEN MRI ON 280, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ImageSouth Homewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801867890
- **Authorized official:** TRACI BROWN (DIRECTOR OF BILLING)
- **Authorized official phone:** (706) 256-3450

## Contact information

- **Practice address:** 1 INDEPENDENCE PLZ STE 140, HOMEWOOD, AL 35209-2629
- **Practice address phone:** (205) 870-1979
- **Practice address fax:** (205) 870-1929
- **Mailing address:** PO BOX 932602, ATLANTA, GA 31193-2602
- **Mailing address phone:** (205) 870-1979
- **Mailing address fax:** (205) 870-1929

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 10/28/2020