Organization
OPENSIDED MRI OF LOUISVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S PLATUSIC (COO)
(219) 365-2220
Entity
Organization
Contact information
Practice address
2027 JEFFERSONVILLE COMMONS DR, JEFFERSONVILLE, IN 47130
(812) 282-0167
(812) 282-3974
Mailing address
2027 JEFFERSONVILLE COMMONS DR, JEFFERSONVILLE, IN 47130
(812) 282-0167
(812) 282-3974
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100346500
—
IN
01
—
247700
MEDICARE RAILROAD
IN
05
—
300024939
—
IN
Enumeration date
06/20/2006
Last updated
04/19/2021
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