Organization
TITAN MRI LLC
Active
Parent organization
TITAN MRI LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITAN MRI LLC
Authorized official
JOE BOLTON (MEMBER/OWNER)
(352) 672-2246
Entity
Organization
Contact information
Practice address
289 SW STONEGATE TER STE 102, LAKE CITY, FL 32024-3457
(386) 245-6644
Mailing address
2605 NW 75TH ST, GAINESVILLE, FL 32606-6314
(352) 672-2246
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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