institution
Southern Open Mri Inc
Sonography Radiologic Technologist in Lake City, Florida
NPI 1194795658

Southern Open Mri Inc is a Sonography Radiologic Technologist based in Lake City, FL and is specialized in Sonography. Southern Open Mri Inc practices in Lake City, FL. The NPI Number for Southern Open Mri Inc is 1194795658 and holds a License No. (Florida).

The current practice location address for Southern Open Mri Inc is 289 Sw Stonegate Ter, Lake City, FL and can be reached out via phone at 386-755-4788 and via fax at 386-755-9980.

Location: 289 Sw Stonegate Ter, Lake City, FL, 32024-3456
institution
Provider Profile Details
NPI Number
1194795658
Provider Name
Southern Open Mri Inc
Credential
Provider Entity Type
Organization
Address
289 Sw Stonegate Ter, Lake City, FL, 32024-3456
Phone Number
386-755-4788
Fax Number
386-755-9980
Provider Enumeration Date
01/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5259706 01 FL AETNA PROVIDER NUMBER
B796 01 FL VISTA HEALTH PLAN
V2546 01 FL BLUE CROSS BLUE SHIELD
1736853 01 FL FIRST HEALTH PROVIDER NUM
271288 01 FL AVMED PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
289 Sw Stonegate Ter
City
State
Zip
32024-3456
Phone Number
386-755-4788
Fax Number
386-755-9980
person
Provider Business Mailing Address Details
Address
289 Sw Stonegate Ter
City
State
Zip
32024-3456
Phone Number
386-755-4788
Fax Number
386-755-9980
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Computed Tomography
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
()
Definition
Definition to come...
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