Coastal Mri

LBN: Beaufort Open Mri, Llc
Coastal Mri is an health care organization with primary practice located at 1319 Ladys Island Dr , Port Royal SC 29935-1153. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Beaufort Open Mri, Llc can be contacted via phone (843) 524-6736, or through Mazzeo, Paul via phone (843) 522-1420.

Contact Information

Primary practice address
1319 Ladys Island Dr Port Royal SC 29935-1153
Phone: (843) 524-6736
Fax: (843) 524-1386
Website:
Map and Directions
Authorized official contact:
Name: Mazzeo, Paul Doctor of Medicine (MD)
Phone: (843) 522-1420

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 14702 South Carolina

Profile Details

NPI number 1053375642
LBN Legal business name Beaufort Open Mri, Llc
DBA Doing business as Coastal Mri
Authorized official Mazzeo, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2006
Last updated Feb 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053375642 NPPES
South Carolina MEDICAID SL0059

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