Southern Open Mri INC

NPI #1194795658 in Lake City, Florida

Provider Information

NPI Number: 1194795658
Entity Type: Organization
Organization Name: Southern Open Mri INC
Primary Specialty: Radiologic Technologist - Magnetic Resonance Imaging
Enumeration Date: Jan 25, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 289 SW STONEGATE TER
Address 2: SUITE 102
City: Lake City
State: Florida
ZIP Code: 32024-3456
Phone: (386) 755-4788

Authorized Official

Name: MRS. LUCIA M DELAUZ-SAMI, RT(R)
Title: VP/CEO/MANAGER
Phone: (386) 755-4788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Computed Tomography — Computed Tomography	2471C3401X
Radiologic Technologist - Sonography — Sonography	2471S1302X
Radiologic Technologist - Magnetic Resonance Imaging — Magnetic Resonance Imaging	2471M1202X	Primary

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