Organization
OPEN MRI OF DECATUR LLC
Active
Other names
Decatur Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER O HOLLIDAY III (DIRECTOR)
(478) 314-5009
Entity
Organization
Contact information
Practice address
1201 13TH AVE SE, DECATUR, AL 35601-4301
(256) 350-7779
(256) 350-2272
Mailing address
PO BOX 4003, MACON, GA 31208-4003
(478) 314-5002
(478) 755-9964
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529915090
—
AL
Enumeration date
03/25/2006
Last updated
05/26/2026
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