ENTERPRISE OPEN MRI, LLC (NPI# 1740204346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740204346 |
| Entity Type | Organization |
| Organization Name | ENTERPRISE OPEN MRI, LLC |
| Practice Address |
100 Professional Lane Suite B Enterprise AL 36330 |
| Mailing Address |
194 E. Redstone Ave. Suite A Crestview FL 32539-5348 |
| Practice Telephone | 3343081524 |
| Practice Fax Number | 3343081528 |
| Mailing Telephone | 3346847156 |
| Mailing Fax Number | 3346847709 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | JOHN C. TOMBERLIN (OWNER) |
| Authorized Official Telephone | 3346847156 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 051519465 | 01 | |
| AL | 051554517 | 05 |
| Street Address |
100 PROFESSIONAL LANE SUITE B |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1881808400 | Walker Medical Diagnostics, LLC | Clinic/Center | 1450 Jones Dairy Rd Ste 600, Jasper, AL 35501-6109 | 2007-05-10 |
| 1982748216 | Renaissance Imaging Services | Clinic/Center | 2457 Mall Rd, Florence, AL 35630-2809 | 2007-02-19 |
| 1164443602 | The Mri Center of Northwest Alabama LLC | Clinic/Center | 150 Medical Dr., Winfield, AL 35594 | 2006-07-21 |
| 1831137363 | Birmingham Radiological Group, PC | Clinic/Center | 1088 9th Ave Sw, Bessemer, AL 35022-4530 | 2006-06-04 |
| 1033173687 | Open Mri of Marshall LLC | Clinic/Center | 12119 Us Hwy 431 South, Guntersville, AL 35976 | 2006-04-12 |
| 1033179809 | Open Mri of Decatur LLC | Clinic/Center | 1201 13th Avenue Se, Decatur, AL 35601 | 2006-03-25 |
| 1417928409 | Open Mri of Sylacauga, LLC | Clinic/Center | 395 James Payton Blvd, Sylacauga, AL 35150-8064 | 2006-01-30 |
| 1801867890 | Open Mri On 280, LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2629 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on ENTERPRISE OPEN MRI, LLC.
| 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.