Organization
JEFFERSON CITY OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM LESTER (PRESIDENT)
(918) 496-5185
Entity
Organization
Contact information
Practice address
3218 W EDGEWOOD DR, SUITE 200, JEFFERSON CITY, MO 65109-6951
(573) 635-6262
Mailing address
PO BOX 366, BROKEN ARROW, OK 74013-0366
(888) 922-2299
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
05/29/2008
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