Open Mri Of Lagrange Llc

LBN: Open Mri Of Lagrange Llc
Open Mri Of Lagrange Llc is an health care organization with primary practice located at 1805 Vernon Rd Suite D, Lagrange GA 30240-4041. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Open Mri Of Lagrange Llc can be contacted via phone (706) 882-1399, or through Comerford, Robert Randolph via phone (706) 882-1399.

Contact Information

Primary practice address
1805 Vernon Rd Suite D Lagrange GA 30240-4041
Phone: (706) 882-1399
Fax: (706) 882-1421
Website:
Map and Directions
Authorized official contact:
Name: Comerford, Robert Randolph Doctor of Medicine (MD)
Phone: (706) 882-1399

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1639204142
LBN Legal business name Open Mri Of Lagrange Llc
DBA Doing business as
Authorized official Comerford, Robert Randolph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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 1639204142 NPPES
Georgia MEDICAID 00599189B

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