Organization Active NPI

MRI-South Umberton Inc

Doing business as MRA Open MRI

  • Diagnostic Radiology Physician
  • Pinellas Park, FL
National Provider Identifier
1801889902
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC3688 Issued in FL
Legal business name
MRI-SOUTH UMBERTON INC
Doing business as
MRA Open MRI
Practice address
6500 66TH St
Pinellas Park, FL 33781-5030
Phone
(727) 548-6736
Fax
(727) 548-0947
NPI assigned
Aug 24, 2005
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Belinda Holmes
Title
Manager
Phone
(941) 365-4617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC3688 FL Primary

Addresses

Primary practice location

6500 66TH St
Pinellas Park, FL 33781-5030

Mailing address

551 N Cattlemen Rd
202
Sarasota, FL 34232-6444
Phone (941) 926-6228

Other identifiers 1

IdentifierTypeStateIssuer
061303701MedicaidFL

Other names 1

  • MRA Open MRI Doing business as

National Provider Directory

National Provider Directory

Locations

551 N Cattlemen Rd
#202
Sarasota, FL 34232

Practitioners & affiliated clinicians

Practitioners 12

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1801889902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N CATTLEMEN RD",
            "address_2": "202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326444",
            "telephone_number": "941-926-6228",
            "fax_number": "941-371-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815030",
            "telephone_number": "727-548-6736",
            "fax_number": "727-548-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI-SOUTH UMBERTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-365-4617"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061303701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRA Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.