Organization
OPEN MRI AT EAGLE EYE RIVERSIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK IOELE (EXECUTIVE ADMINISTRATOR)
(951) 413-0979
Entity
Organization
Contact information
Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
(951) 413-0979
Mailing address
PO BOX 2926, SANTA FE SPRINGS, CA 90670-0926
(951) 413-0979
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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