Jefferson City Open Mri LLC
NPI #1376598292 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1376598292
- Entity Type
- Organization
- Organization Name
- Jefferson City Open Mri LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 23, 2006
- Last Updated
- May 29, 2008
Practice Location
- Address
- 3218 W EDGEWOOD DR
- Address 2
- SUITE 200
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-6951
- Phone
- (573) 635-6262
Authorized Official
- Name
- MR. JIM LESTER
- Title
- PRESIDENT
- Phone
- (918) 496-5185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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