OPEN MRI OF OXFORD LLC NPI 1972616555

Clinic/Center (Radiology) in Oxford, AL

NPI 1972616555 Organization Clinic/Center Radiology

About OPEN MRI OF OXFORD LLC

Open Mri Of Oxford Llc is a provider established in Oxford, Alabama specializing in clinic/center (radiology) . The NPI number of Open Mri Of Oxford Llc is 1972616555 and was assigned on August 2006. The practitioner's primary taxonomy code is 261QR0200X with license number 711 (AL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Miss Tracy Austin (Manager)

NPI

1972616555

Provider NameOPEN MRI OF OXFORD LLC
Provider Location Address1612 HAMRIC DR E STE. 101 OXFORD, AL 36203
Provider Mailing Address1612 HAMRIC DR E STE. 101 OXFORD, AL 36203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-16-2006
Last Update Date12-28-2012


Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.711
License StateAL

Business Address

OPEN MRI OF OXFORD LLC
1612 HAMRIC DR E
STE. 101
OXFORD, AL
ZIP 36203
Phone: (256) 832-0007

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Mailing Address

OPEN MRI OF OXFORD LLC
1612 HAMRIC DR E
STE. 101
OXFORD, AL
ZIP 36203
Phone: (256) 832-0007



Authorized Official

Authorized Official NameMISS TRACY AUSTIN
Authorized Official TitleMANAGER
Authorized Official Phone(256) 473-7091

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1083655187OTHER (01)
1427030642OTHER (01)AL
1659353886OTHER (01)AL
1730146069OTHER (01)AL
51116985OTHER (01)AL
1235111451OTHER (01)AL
1306051164OTHER (01)AL
1598747719OTHER (01)AL
1972616555OTHER (01)AL
1427003706OTHER (01)AL
1023040409OTHER (01)AL
1124000344OTHER (01)AL
1942282173OTHER (01)AL
000051488MEDICARE PIN (08)AL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.