MRI Imaging Specialists Corp

Primary specialty

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

Legal business name

MRI IMAGING SPECIALISTS CORP

Practice address

6760 Jimmy Carter Blvd
Norcross, GA 30071-1278

Phone

(678) 969-0904

Fax

(678) 969-0908

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Leon

Title

Ceo

Phone

(678) 969-0904

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Thomas E Turek, M.D.

  • Specialist
  • University Park, FL
  • NPI 1326091661

  GA

  Medicare reassignment NPD
• Michael K. Herron, M. D.

  • Diagnostic Radiology Physician
  • Homosassa, FL
  • NPI 1700867207
  NPD (past)
• Marzieh Jean Thurber, MD

  • Diagnostic Radiology Physician
  • Surfside, FL
  • NPI 1699078576
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1720340995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711278",
            "telephone_number": "678-969-0904",
            "fax_number": "678-969-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711278",
            "telephone_number": "678-969-0904",
            "fax_number": "678-969-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI IMAGING SPECIALISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-969-0904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antolin Moronta, PHYSICIAN ASSISTANT
• Carly Morris, M.A.
• Flora Jean Morris
• Melissa Elizabeth Mosby Johnson
• Janeicea Mosley
• Austin Daniel Mudd, PHARM D.
• Disha Sai Mudulodu, OTR/L
• Munoz Dental Resources LLC
• Jasmine Nicole Munroe, PHMNP
• Asia Murillo

• Magnetic Resonance Imaging (MRI) Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.