Provider Demographics
NPI:1972616555
Name:OPEN MRI OF OXFORD LLC
Entity type:Organization
Organization Name:OPEN MRI OF OXFORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-473-7091
Mailing Address - Street 1:1612 HAMRIC DR E
Mailing Address - Street 2:STE. 101
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-8024
Mailing Address - Country:US
Mailing Address - Phone:256-832-0007
Mailing Address - Fax:
Practice Address - Street 1:1612 HAMRIC DR E
Practice Address - Street 2:STE. 101
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-8024
Practice Address - Country:US
Practice Address - Phone:256-832-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL711261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1942282173OtherNPI
AL1427003706OtherNPI
AL1427030642OtherNPI
AL1659353886OtherNPI
AL1972616555OtherGROUP NPI
AL1306051164OtherJAMES SPANN, M.D. - NPI #
AL1598747719OtherNPI
AL1023040409OtherNPI - BERGQUIST
AL1235111451OtherNPI
1083655187OtherNPI
AL1124000344OtherNPI
AL1730146069OtherNPI
AL51116985OtherJAMES SPANN, MD. - BCBS ID #
AL1598747719OtherNPI