Healthcare Provider Details

I. General information

NPI: 1508198607
Provider Name (Legal Business Name): NAR OPEN MRI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 NORTH 32ND AVENUE SUITE 102
OMAHA NE
68131
US

IV. Provider business mailing address

117 NORTH 32ND AVENUE SUITE 102
OMAHA NE
68131
US

V. Phone/Fax

Practice location:
  • Phone: 402-715-5200
  • Fax: 402-715-5201
Mailing address:
  • Phone: 402-715-5200
  • Fax: 402-715-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ROBIN NELSON
Title or Position: DIRECTOR OF OPERATIONS
Credential: RT(R)(M)(CT)
Phone: 402-715-5200