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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