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NPI Code Detail

MEDICARE: FAR HILLS OPEN MRI INC

MEDICARE: FAR HILLS OPEN MRI INC
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
1291U00000XClinical Medical Laboratory36D1097024OH

General Provider Information

NPI Number : 1407183031
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAR HILLS OPEN MRI INC
Provider Business Mailing Address
First Line : 1401 SHOP RD
Second Line : SUITE A
City : COLUMBIA
State : SC
Zip : 29201-4843
Country : US
Telephone Number : 803-988-1093
Fax Number : 803-929-0703
Provider Business Practice Location Address
First Line : 5529 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2225
Country : US
Telephone Number : 937-435-6674
Fax Number : 937-435-0329
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT E ADAMS
Credential :
Telephone Number : 803-988-1093
Provider Enumeration Date : 11/03/2009
Last Update Date : 10/03/2012

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