Fayetteville Open MRI, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

FAYETTEVILLE OPEN MRI, LLC

Doing business as

Open MRI Fayetteville an affiliate of Diagnostic Health

Practice address

3186 Village Dr
Fayetteville, NC 28304-3865

Phone

(910) 323-2209

Fax

(910) 323-9680

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri Miller

Title

Credentialing Specialist

Phone

(205) 685-5000

Specialties & licenses 1

Addresses

Other names 1

• Open MRI Fayetteville an affiliate of Diagnostic Health Doing business as

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1770532269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241702",
            "telephone_number": "205-685-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043865",
            "telephone_number": "910-323-2209",
            "fax_number": "910-323-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-685-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI Fayetteville an affiliate of Diagnostic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fayetteville Manor, LLC
• Fayetteville Medical Clinic, PC
• Fayetteville NC Homecare LLC (Visiting Angels- Fayetteville, NC)
• Fayetteville Neurology Associates PA
• Fayetteville Neuropsychology PLLC
• Fayetteville Orthopaedic Clinic, PA (Fayetteville Orthopaedics and Sports Medicine)
• Fayetteville Otolaryngology Head and Neck Surgery P.a.
• Fayetteville Otolaryngology Head and Neck Surgery PA
• Fayetteville Physical Therapy & Rehab LLC
• Fayetteville Plastic Surgery Specialists, PA

• Physiological Laboratory in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physiological Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.