MEDICARE: MCDOWELL MRI, L.L.C.

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	0597542	NC

General Provider Information

NPI Number	:	1881636942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCDOWELL MRI, L.L.C.

Provider Business Mailing Address
First Line	:	430 RANKIN DRIVE
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752
Country	:	US
Telephone Number	:	828-659-5100
Fax Number	:	828-652-1626

Provider Business Practice Location Address
First Line	:	430 RANKIN DR
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-6568
Country	:	US
Telephone Number	:	828-659-5100
Fax Number	:	828-652-1626

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. MARY BROWN
Credential	:
Telephone Number	:	828-659-5104

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/18/2008

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