Organization
PREMIER OPEN MRI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI COOPER (DELEGATED OFFICIAL)
(754) 206-6198
Entity
Organization
Contact information
Practice address
500 S MAIN ST, WICHITA, KS 67202-3722
(316) 262-1103
(316) 262-1203
Mailing address
500 S MAIN ST, WICHITA, KS 67202-3722
(316) 262-1103
(316) 262-1203
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100316860A
—
KS
Enumeration date
08/18/2005
Last updated
11/10/2023
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