Open Mri of Lagrange LLC

NPI #1639204142 in Lagrange, Georgia

Provider Information

NPI Number
1639204142
Entity Type
Organization
Organization Name
Open Mri of Lagrange LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Feb 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1805 VERNON RD
Address 2
SUITE D
State
Georgia
ZIP Code
30240-4041
Phone
(706) 882-1399

Authorized Official

Name
ROBERT RANDOLPH COMERFORD, MD
Title
MEDICAL DIRECTOR
Phone
(706) 882-1399

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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