MEDICARE: OPEN MRI OF ROBINSON, LTD.

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	174400000X	Specialist

General Provider Information

NPI Number	:	1629021100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN MRI OF ROBINSON, LTD.

Provider Business Mailing Address
First Line	:	1928 PARK MANOR BLVD
Second Line	:	SPACE 507
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4809
Country	:	US
Telephone Number	:	412-788-0901
Fax Number	:	412-788-0904

Provider Business Practice Location Address
First Line	:	1928 PARK MANOR BLVD
Second Line	:	SPACE 507
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4809
Country	:	US
Telephone Number	:	412-788-0901
Fax Number	:	412-788-0904

Authorized Official
Title or Position	:	MANAGING EMPLOYEE
Name	:	REBECCA JONES
Credential	:
Telephone Number	:	740-266-7674

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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