OPEN MRI OF JACKSON, LLC


Address: 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717
Phone: 6019366500

OPEN MRI OF JACKSON, LLC (NPI# 1265528467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265528467
Entity Type Organization
Organization Name OPEN MRI OF JACKSON, LLC
Practice Address 1 Layfair Dr
Suite 315
Flowood
MS 39232-9717
Practice Telephone 6019366500
Practice Fax Number 6019362027
Mailing Telephone 6019366500
Mailing Fax Number 6019362027
Enumeration Date 2006-10-05
Last Update Date 2012-01-17
Authorized Official Name DAVID BLUMENTHAL (PRESIDENT)
Authorized Official Telephone 6019366500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 00123906 05

Office Location

Street Address 1 LAYFAIR DR
SUITE 315
City FLOWOOD
State MS
Zip Code 39232-9717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528094851 Orhan Ilercil Specialist 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 2006-06-26
1356671556 Mississippi Brain and Spine, Pllc Specialist 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 2010-01-11
1083841803 Kathryn E Johnson Dietitian, Registered 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 2009-06-18
1407098536 Methodist Pain Management, LLC Anesthesiology 1 Layfair Dr, Suite 400, Flowood, MS 39232-9717 2009-04-06
1891972022 Flowood Family Medicine, Pllc Family Medicine 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 2008-01-30
1245433879 Kevin Michael Young Family Medicine 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 2007-06-10
1245389386 Methodist Specialty Care Center Nursing Facility/Intermediate Care Facility 1 Layfair Dr, Suite 500, Flowood, MS 39232-9717 2007-01-09
1326116112 Mississippi Neurosurgery and Spine Center,pllc Neurological Surgery 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 2006-12-01
1255427464 Central Ms Diagnostics, LLC Clinic/Center 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 2006-10-05
1790876811 Leon M Grigoryev Physical Medicine & Rehabilitation 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 2006-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164071775 Leanna Nicole Howard Social Worker 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 2019-09-06
1104395565 Patriot Healthcare of Mississippi, LLC Family Medicine 4800 Lakeland Drive, Flowood, MS 39232 2018-11-15
1285101816 Magnolia Anesthesia Consultants LLC Anesthesiology 4209 Lakeland Dr #252, Flowood, MS 39232 2018-11-01
1528543592 Matthew T Armstrong Physical Therapist 104 Burney Drive, Flowood, MS 39232 2018-09-26
1790265627 Mississippi Brain and Spine, Pllc Non-Pharmacy Dispensing Site 1 Layfair Drive, Ste 120, Flowood, MS 39232 2018-08-20
1629574918 Billy Clifton Osbon Jr. Pharmacist 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 2018-04-04
1356851752 Oakdale Family Dentistry Clinic/Center 2139 Hwy 471, Flowood, MS 39232 2017-10-11
1992227177 Charisma T. Cummings Nurse Practitioner 102 Riverview Drive, Suite A, Flowood, MS 39232 2017-07-10
1508398983 Charles Pearson Student in an Organized Health Care Education/Training Program 764 Flowood Dr, Flowood, MS 39232 2017-04-03
1396288197 Mary Claire Ponder Nurse Practitioner 151 E Metro Dr Ste 103, Flowood, MS 39232 2016-11-28
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568558385 Central Ms Imaging LLC Dba Southern Diagnostic Imaging Clinic/Center 1037 N Flowood Dr, Flowood, MS 39232-9533 2006-10-05
1255427464 Central Ms Diagnostics, LLC Clinic/Center 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 2006-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114174539 Radiology Clinic Clinic/Center 2400 Fifth Street North, Columbus, MS 39705-2000 2008-08-27
1902004997 Miss-lou Ct Center, LLC Clinic/Center 140 Jeff Davis Blvd, Suite B, Natchez, MS 39120-5104 2007-07-11
1528179611 Ridgeland Diagnostic Center Clinic/Center 730 Ridgewood Rd Ste C, Ridgeland, MS 39157-4426 2006-08-31
1275568347 Preferred Imaging, LLC Clinic/Center 575 Highway 6 E, Batesville, MS 38606-3003 2006-07-11
1710351572 Alliance Healthcare Services Inc Clinic/Center 1901 Mission 66, Vicksburg, MS 39180-3711 2015-11-17
1013217074 Sharkey Issaquena Comm Hospital - Radiology Clinic/Center 47 S Fourth St, Rolling Fork, MS 39159-5146 2010-10-25
1356520613 Catx, Inc Clinic/Center 1421 E Peace St, A, Canton, MS 39046-4938 2007-11-02
1841404985 Neshoba Physician Billing Service Clinic/Center 1001 Holland Ave, Philadelphia, MS 39350-2161 2007-05-09
1841304466 Coastal County Imaging Services, LLC Clinic/Center 4320 15th St, Ste B, Gulfport, MS 39501-2524 2006-08-19
1396762209 Singing River Radiology Group, Pa Clinic/Center 2809 Denny Ave, Pascagoula, MS 39581-5301 2006-07-16
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Competitor

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City FLOWOOD
Zip Code 39232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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