Healthcare Provider Details

I. General information

NPI: 1942203567
Provider Name (Legal Business Name): GAINESVILLE OPEN MRI CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 W NEWBERRY RD SUITE 104
GAINESVILLE FL
32607-2586
US

IV. Provider business mailing address

PO BOX 947379
ATLANTA GA
30394-7379
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-3100
  • Fax: 352-377-1286
Mailing address:
  • Phone: 352-377-3100
  • Fax: 352-377-1286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC3720
License Number StateFL

VIII. Authorized Official

Name: JOSEPH COLORIO
Title or Position: OWNER
Credential:
Phone: 352-377-3100