Vidalia Open MRI, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

025199 Issued in GA

Legal business name

VIDALIA OPEN MRI, LLC

Practice address

3165 E 1St St
Vidalia, GA 30474-8830

Phone

(800) 474-1077

NPI assigned

Nov 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Frank Harrelson Jr.

Title

Office Manager

Phone

(800) 474-1077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer M. Paterson, M.D.

  • Interventional Pain Medicine Physician
  • Baxley, GA
  • NPI 1306025267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1164599353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 E 1ST ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748830",
            "telephone_number": "800-474-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 E 1ST ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748830",
            "telephone_number": "800-474-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIA OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "800-474-1077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "GA",
            "license": "025199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000303751E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vidalia Lab Services, Inc
• Vidalia Medical Associates, PC
• Vidalia Medical Partners Inc.
• Vidalia Neurology Associates, LLC
• Vidalia OB GYN
• Vidalia Oral and Maxillofacial Surgery, P.C.
• Vidalia Orthopedic Center, LLC
• Vidalia Pharmacy Inc
• Vidalia Pulmonology Center, LLC
• Vidalia Radiology Associates

• Magnetic Resonance Imaging Radiologic Technologist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.