Organization
MRI IMAGING SPECIALISTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL LEON (CEO)
(678) 969-0904
Entity
Organization
Contact information
Practice address
6760 JIMMY CARTER BLVD, NORCROSS, GA 30071-1278
(678) 969-0904
(678) 969-0908
Mailing address
6760 JIMMY CARTER BLVD, NORCROSS, GA 30071-1278
(678) 969-0904
(678) 969-0908
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
06/13/2012
Last updated
07/27/2016
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