Open MRI of Jackson, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

OPEN MRI OF JACKSON, LLC

Practice address

1 Layfair Dr
Suite 315
Flowood, MS 39232-9717

Phone

(601) 936-6500

Fax

(601) 936-2027

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

David Blumenthal

Title

President

Phone

(601) 936-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1265528467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAYFAIR DR",
            "address_2": "SUITE 315",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329717",
            "telephone_number": "601-936-6500",
            "fax_number": "601-936-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAYFAIR DR",
            "address_2": "SUITE 315",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329717",
            "telephone_number": "601-936-6500",
            "fax_number": "601-936-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-936-6500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123906",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omj MRI Radiology, PLLC
• On-Site Health LLC
• Chike Benedict Onyali, M.D.
• Alexandra Ifediche Onyejiaka
• Open MRI Jackson Radiology PLLC (Open MRI of Jackson)
• Oral and Facial Surgery of Mississippi
• Joseph Griffin Orr, CRNA
• Billy Clifton Osbon Jr., R.PH.
• Gregory Lee Osborn, RPH
• Clarence Michael Osborne, MD

• Radiology Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Radiology Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.