| NPI | 1174526982 |
|---|---|
| Doing Business As | SOUTHERN REGIONAL OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGLAS Credentialing Manager 502-403-1401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-02-17 |