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General NPI Number Information
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NPI Number | 1831915750
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Entity Type | Organization
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Legal Business Name | BLUE LAKE OPEN MRI, LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 3105 BLUE LAKE DR
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City | VESTAVIA
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State | AL
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Zip | 35243-2333
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Country | US
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Telephone | 205-915-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 BLUE LAKE DR
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City | VESTAVIA
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State | AL
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Zip | 35243-2333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PERRY LAUREN SAVAGE JR.
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Credential | MD
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Telephone | 659-444-4422
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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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