Organization
MONTGOMERY OPEN MRI, LLC
Active
Organization
MONTGOMERY OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
249 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 213-0036
(334) 213-0166
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551290
—
AL
Enumeration date
05/02/2006
Last updated
09/23/2013
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