Organization Active NPI

Dublin Open MRI & Imaging Center, PC

  • Diagnostic Radiology Physician
  • Dublin, GA
National Provider Identifier
1548236193
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
06 02831 Issued in GA
Legal business name
DUBLIN OPEN MRI & IMAGING CENTER, PC
Practice address
102 Corporate SQ
Dublin, GA 31021-4225
Phone
(478) 272-5177
Fax
(478) 272-9121
NPI assigned
Feb 24, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Lloyd Waxman
Title
Director of Operations
Phone
(631) 694-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 06 02831 GA Primary

Addresses

Primary practice location

102 Corporate SQ
Dublin, GA 31021-4225

Mailing address

102 Corporate SQ
Dublin, GA 31021-4225
Phone (478) 272-5177

National Provider Directory

National Provider Directory

Locations

102 Corporate Sq
Dublin, GA 31021
Phone (478) 272-5177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1548236193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CORPORATE SQ",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214225",
            "telephone_number": "478-272-5177",
            "fax_number": "478-272-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CORPORATE SQ",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214225",
            "telephone_number": "478-272-5177",
            "fax_number": "478-272-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN OPEN MRI & IMAGING CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "631-694-2816"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "06 02831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.