| NPI | 1033173687 |
|---|---|
| Former Legal Business Name | SAND MOUNTAIN OPEN MRI LLC |
| Entity Type | Organization |
| Authorized Contact | PETER O HOLLIDAY Director 478-474-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-11-28 |