institution
Open Mri Of Lake Havasu Llc
Diagnostic Radiology Physician in Lake Havasu City, Arizona
NPI 1669438867

Open Mri Of Lake Havasu Llc is a Diagnostic Radiology Physician based in Huntsville, AZ and is specialized in Diagnostic Radiology. Open Mri Of Lake Havasu Llc practices in Lake Havasu City, AZ. The NPI Number for Open Mri Of Lake Havasu Llc is 1669438867 and holds a License No. OTC3930 (Arizona).

The current practice location address for Open Mri Of Lake Havasu Llc is 2082 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-505-1511 and via fax at 928-505-1541. You can also correspond with Open Mri Of Lake Havasu Llc through the mailing address at 604B MADISON ST SE, HUNTSVILLE, AL - 35801-4401 (mailing address contact number: 256-533-2311).

Location: 2082 Mesquite Ave, Lake Havasu City, AZ, 35801-4401
institution
Provider Profile Details
NPI Number
1669438867
Provider Name
Open Mri Of Lake Havasu Llc
Credential
Provider Entity Type
Organization
Address
2082 Mesquite Ave, Lake Havasu City, AZ, 35801-4401
Phone Number
928-505-1511
Fax Number
928-505-1541
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
089276 05 AZ
OTC3930 01 AZ AZ DEPT OF HEALTH SVC
AZ0155710 01 AZ BLUE CROSS
P00308294 01 AL MEDICARE RR PALMETTO GBA
institution
Provider Business Practice Location Address Details
Address
2082 Mesquite Ave
City
State
Zip
86403-6717
Phone Number
928-505-1511
Fax Number
928-505-1541
person
Provider Business Mailing Address Details
Address
604B Madison St Se
City
State
Zip
35801-4401
Phone Number
256-533-2311
Fax Number
256-533-2231
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
OTC3930 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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