Organization
COMMUNITY PHYSICIANS OPEN MRI, LLC
Active
Organization
COMMUNITY PHYSICIANS OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE NELSON II (SENIOR DIRECTOR, ANCILLARY SERVICES)
(937) 328-9520
Entity
Organization
Contact information
Practice address
2200 N LIMESTONE ST, SUITE 114 & 108, SPRINGFIELD, OH 45503-2665
(937) 342-0302
(937) 342-0435
Mailing address
247 S BURNETT RD, SUITE 110, SPRINGFIELD, OH 45505-2639
(937) 328-9090
(937) 525-2466
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
0604IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167882
—
OH
Enumeration date
05/27/2006
Last updated
08/22/2020
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