Provider Demographics
NPI:1386807881
Name:MRI ASSOCIATES OF TAMPA INC
Entity type:Organization
Organization Name:MRI ASSOCIATES OF TAMPA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-684-2811
Mailing Address - Street 1:6451 TOUCAN TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2642
Mailing Address - Country:US
Mailing Address - Phone:352-684-2811
Mailing Address - Fax:352-684-0212
Practice Address - Street 1:6451 TOUCAN TRL
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2642
Practice Address - Country:US
Practice Address - Phone:352-684-2811
Practice Address - Fax:352-684-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3801261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2063916OtherFIRST HEALTH
FL470001815OtherRR MEDICARE