Organization
OPP IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA WYATT CFO (CFO)
(334) 493-3541
Entity
Organization
Contact information
Practice address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-1103
(334) 493-1105
Mailing address
PO BOX 890, 702 NORTH MAIN STREET, OPP, AL 36467-0890
(334) 493-1103
(334) 493-1105
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555207
—
AL
Enumeration date
12/13/2005
Last updated
04/29/2008
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