Organization
MRI AT BELFAIR LLC
Active
Organization
MRI AT BELFAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT JOSEPH BORELLI JR. M.D. (PRESIDENT)
(843) 815-9700
Entity
Organization
Contact information
Practice address
18 CLARK SUMMIT DR, BLUFFTON, SC 29910-4963
(843) 815-9700
(843) 815-9701
Mailing address
18 CLARK SUMMIT DR, BLUFFTON, SC 29910-4963
(843) 815-9700
(843) 815-9701
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
20797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00465494
RAILROAD MEDICARE
SC
05
—
PL0067
—
SC
Enumeration date
01/06/2006
Last updated
01/30/2022
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