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NPI Code Detail

MEDICARE: OPEN MRI OF SEARCY LLC

MEDICARE: OPEN MRI OF SEARCY 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
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932169703
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN MRI OF SEARCY LLC
Provider Business Mailing Address
First Line : PO BOX 4003
Second Line :
City : MACON
State : GA
Zip : 31208-4003
Country : US
Telephone Number : 478-314-5008
Fax Number : 478-755-9964
Provider Business Practice Location Address
First Line : 2019 E RACE AVE STE 109
Second Line :
City : SEARCY
State : AR
Zip : 72143-4725
Country : US
Telephone Number : 501-368-0657
Fax Number : 501-368-0658
Authorized Official
Title or Position : DIRECTOR
Name : DR. PETER O HOLLIDAY III
Credential : MD
Telephone Number : 478-314-5008
Provider Enumeration Date : 03/25/2006
Last Update Date : 02/24/2026

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