Organization
OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM O HENRY MD (OWNER)
(228) 314-7226
Entity
Organization
Contact information
Practice address
14245 DEDEAUX RD, GULFPORT, MS 39503-3369
(228) 314-7226
(228) 314-7227
Mailing address
PO BOX 2819, GULFPORT, MS 39505-2819
(228) 314-7226
(228) 314-7227
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03733573
—
MS
05
—
10410
—
MS
01
—
1144363771
DR WILLIAM HENRY NPI
—
01
—
1154338879
DIANNA RAGULA
—
05
—
16169
—
MS
01
—
1831232479
DR RICHARD HAYS NPI
—
Enumeration date
07/13/2006
Last updated
07/23/2008
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