Organization
STAND UP OPEN MRI OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BRYANT MONTGOMERY M.D. (PHYSICIAN/OWNER)
(850) 433-0674
Entity
Organization
Contact information
Practice address
509 RIDGE RD, MUNSTER, IN 46321-1643
(850) 479-1805
(850) 479-1829
Mailing address
P.O. BOX 270543, TAMPA, FL 33688-0543
(219) 513-1000
(219) 513-1090
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
11/12/2014
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