MEDICARE: JEFFERSON CITY OPEN MRI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1376598292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSON CITY OPEN MRI LLC

Provider Business Mailing Address
First Line	:	PO BOX 366
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74013-0366
Country	:	US
Telephone Number	:	888-922-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	3218 W EDGEWOOD DR
Second Line	:	SUITE 200
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-6951
Country	:	US
Telephone Number	:	573-635-6262
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JIM LESTER
Credential	:
Telephone Number	:	918-496-5185

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	05/29/2008

Similar Medicare Providers

1568621175 — ADVANCED RADIOLOGY OF JEFFERSON CITY, LLC
Practice Location Address:

3218 W EDGEWOOD DR STE 200
JEFFERSON CITY, MO
65109-6951

Practice Phone: 573-635-6262
Practice Fax: 573-635-9786

1285747766 — JULIA BROWN TRICE M.D.
Practice Location Address:

12350 JEFFERSON AVE , SUITE 190
NEWPORT NEWS, VA
23602-6951

Practice Phone: 757-881-9444
Practice Fax: 757-881-9004

1982776902 — PENINSULA PEDIATRIC PSYCHIATRY
Practice Location Address:

12350 JEFFERSON AVE , SUITE 190
NEWPORT NEWS, VA
23602-6951

Practice Phone: 757-881-9444
Practice Fax:

1588828388 — NADINE ANNE PASLAWSKY-BRAGGS PA-C
Practice Location Address:

12350 JEFFERSON AVE
NEWPORT NEWS, VA
23602-6951

Practice Phone: 757-881-9444
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

Directions to “JEFFERSON CITY OPEN MRI LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.