Marshall County Mri, LLC

NPI #1194145714 in Benton, Kentucky

Provider Information

NPI Number: 1194145714
Entity Type: Organization
Organization Name: Marshall County Mri, LLC
Primary Specialty: Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date: Apr 22, 2014
Last Updated: Apr 22, 2014

Practice Location

Address: 615 OLD SYMSONIA RD
City: Benton
State: Kentucky
ZIP Code: 42025-5042
Phone: (270) 527-4850

Authorized Official

Name: DAVID G FUQUA
Title: ADMINISTRATOR
Phone: (270) 527-4850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X	Primary

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