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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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