Organization
JAMESTOWN IMAGING MANAGEMENT LLC
Active
Other names
Jamestown Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2608
(716) 665-1198
(716) 665-2035
Mailing address
15 S MAIN ST STE 250, JAMESTOWN, NY 14701-6626
(716) 665-1198
(716) 665-2035
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
06/12/2008
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