# EAUCLAIRE OPEN MRI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chippewa Valley Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841293552
- **Authorized official:** MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
- **Authorized official phone:** (502) 477-1815

## Contact information

- **Practice address:** 4130 STATE ROAD 93, EAU CLAIRE, WI 54701-7806
- **Practice address phone:** (715) 830-9507
- **Practice address fax:** (715) 830-9609
- **Mailing address:** 4130 STATE HWY 93, EAU CLAIRE, WI 54701-7806
- **Mailing address phone:** (715) 830-9507
- **Mailing address fax:** (715) 830-9609

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 02/29/2008