Organization
OPEN MRI JASPER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY F CARTER (MANAGER)
(205) 991-1830
Entity
Organization
Contact information
Practice address
301 N WALSTON BRIDGE RD, JASPER, AL 35504-8648
(205) 387-0977
Mailing address
301 N WALSTON BRIDGE RD, JASPER, AL 35504-8648
(205) 387-0977
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
000239
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023040409
NPI - BERGQUIST
AL
01
—
1124000344
NPI - SNOW
AL
01
—
1306051164
JAMES SPANN, M.D. - NPI #
AL
01
—
1427030642
NPI - EICHELBERGER
AL
01
—
51116988
JAMES SPANN, M.D. BCBS ID #
AL
Enumeration date
06/18/2006
Last updated
12/28/2012
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