Open Mri Of Lagrange Llc in Lagrange - Physiological Laboratory
Open Mri Of Lagrange Llc - NPI 1639204142
Open Mri Of Lagrange Llc is a Physiological Laboratory in Lagrange, Georgia. Open Mri Of Lagrange Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Open Mri Of Lagrange Llc is 1639204142. The last update date is 2020-08-22.
Open Mri Of Lagrange Llc's current location address is 1805 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068821399 and fax number 7068821421. The mailing address for Open Mri Of Lagrange Llc is 1805 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Mri Of Lagrange Llc |
|---|---|
| Address | 1805 Vernon Rd, Lagrange, Georgia |
| Phone Number | 7068821399 |
| Fax Number | 7068821421 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Comerford Randolph Robert |
| Credentials | MD |
| Telephone Number | 7068821399 |
NPI Number Detail
| NPI Number | 1639204142 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1805 Vernon Rd |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302404041 |
| Phone Number | 7068821399 |
| Fax Number | 7068821421 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
|
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00599189B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Open Mri Of Lagrange Llc by the Centers for Medicare & Medicaid Services?
The Open Mri Of Lagrange Llc has been assigned the NPI (National Provider Identifier) 1639204142 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Open Mri Of Lagrange Llc is physically located?
The Open Mri Of Lagrange Llc is situated at the following address: 1805 Vernon Rd, Lagrange, GA 302404041.
What is the area of specialization for Open Mri Of Lagrange Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Open Mri Of Lagrange Llc is Physiological Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 293D00000X.
On what date did the Open Mri Of Lagrange Llc receive its 1639204142 assignment from the Centers for Medicare & Medicaid Services?
The Open Mri Of Lagrange Llc was assigned its 1639204142 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the Open Mri Of Lagrange Llc's details last updated?
The information pertaining to the Open Mri Of Lagrange Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.