Stand Up Open MRI of Indiana LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

STAND UP OPEN MRI OF INDIANA LLC

Practice address

509 Ridge Rd
Munster, IN 46321-1643

Phone

(850) 479-1805

Fax

(850) 479-1829

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Aaron Bryant Montgomery, M.D.

Title

Physician/Owner

Phone

(850) 433-0674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1255755245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 270543",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336880543",
            "telephone_number": "219-513-1000",
            "fax_number": "219-513-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RIDGE RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211643",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND UP OPEN MRI OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-433-0674",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Munster, IN
• Providers in Munster, IN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.