Provider Demographics
NPI:1215329198
Name:MRI OF ASHEBORO, LLC
Entity type:Organization
Organization Name:MRI OF ASHEBORO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP-FINANCE/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:336-625-5151
Mailing Address - Street 1:237 N FAYETTEVILLE ST
Mailing Address - Street 2:SUITEB
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5572
Mailing Address - Country:US
Mailing Address - Phone:336-625-5151
Mailing Address - Fax:
Practice Address - Street 1:237 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE B
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5572
Practice Address - Country:US
Practice Address - Phone:336-625-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANDOLPH HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-02
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)