OPEN AIR MRI OF TROY LLC


Address: 1001 S Franklin Dr, Troy, AL 36081-3849
Phone: 3346700927

OPEN AIR MRI OF TROY LLC (NPI# 1992797823) 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) 1992797823
Entity Type Organization
Organization Name OPEN AIR MRI OF TROY LLC
Practice Address 1001 S Franklin Dr
Troy
AL 36081-3849
Practice Telephone 3346700927
Practice Fax Number 3346700928
Mailing Telephone 3346700927
Mailing Fax Number 3346700928
Enumeration Date 2005-08-17
Last Update Date 2015-02-13
Authorized Official Name JAMES W. HOLMES (CHIEF OPERATING OFFICER)
Authorized Official Telephone 3372919161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
AL 051554529 05

Office Location

Street Address 1001 S FRANKLIN DR
City TROY
State AL
Zip Code 36081-3849

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1457918237 Cherita A Garcia Physician Assistant 1330 Us-231, Troy, AL 36081 2019-05-28
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1184085953 Emily Denise Jones Physical Therapist 1147 Highway 231 S Ste 9, Troy, AL 36081 2016-03-08
1265856769 Mckenzie S Fallon Counselor 200 Cherry Street, Troy, AL 36081 2014-02-05
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

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1467623264 Rural Imaging Southeast LLC Physiological Laboratory 781 4th Ave Ste A, York, AL 36925-2103 2008-03-19
1194934885 Health Care Investment Group Inc Physiological Laboratory 218 W Alabama St, Florence, AL 35630-5516 2007-05-21
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City TROY
Zip Code 36081

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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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