Organization
OPEN IMAGING, LLC
Active
Organization
OPEN IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM GUNABALAN MD (PRESIDENT)
(248) 619-9771
Entity
Organization
Contact information
Practice address
4447 TALMADGE RD, SUITE H, TOLEDO, OH 43623-3500
(248) 583-8922
(248) 583-8969
Mailing address
30781 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
(248) 583-8922
(248) 583-8969
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494711
ANTHEM BLUE CROSS
OH
05
—
2742189
—
OH
01
—
745471
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
08/30/2006
Last updated
11/29/2011
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