Vidalia Open Mri, Llc

LBN: Vidalia Open Mri, Llc
Vidalia Open Mri, Llc is an health care organization with primary practice located at 3165 E 1St St , Vidalia GA 30474-8830. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Vidalia Open Mri, Llc can be contacted via phone (800) 474-1077, or through Harrelson, Frank via phone (800) 474-1077.

Contact Information

Primary practice address
3165 E 1St St Vidalia GA 30474-8830
Phone: (800) 474-1077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrelson, Frank
Phone: (800) 474-1077

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 025199 Georgia

Profile Details

NPI number 1164599353
LBN Legal business name Vidalia Open Mri, Llc
DBA Doing business as
Authorized official Harrelson, Frank
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 17th, 2007 - about 19 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 1164599353 NPPES
Georgia MEDICAID 000303751E

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