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General NPI Number Information
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NPI Number | 1609811769
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Entity Type | Organization
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Legal Business Name | OPENSIDED MRI OF LOUISVILLE, LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 2027 JEFFERSONVILLE COMMONS DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-282-0167
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Fax | 812-282-3974
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Provider Business Mailing Address
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Address Line | 2027 JEFFERSONVILLE COMMONS DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-282-0167
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Fax | 812-282-3974
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Authorized Official
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Title or Position | COO
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Name | MR. JOHN S PLATUSIC
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Credential |
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Telephone | 219-365-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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