Organization
CHAMPLAIN VALLEY OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DOUGLAS (CONTRACT MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
118 CONSUMER SQ, PLATTSBURGH, NY 12901-6507
(518) 562-3650
(518) 562-3801
Mailing address
118 CONSUMER SQ, PLATTSBURGH, NY 12901-6507
(518) 562-3650
(518) 562-3801
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2006
Last updated
12/05/2008
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