OPEN MRI OF CONWAY LLC


Address: 2585 Donaghey Ave, Suite 109, Conway, AR 72032-2327
Phone: 5017641201

OPEN MRI OF CONWAY LLC (NPI# 1225007115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225007115
Entity Type Organization
Organization Name OPEN MRI OF CONWAY LLC
Practice Address 2585 Donaghey Ave
Suite 109
Conway
AR 72032-2327
Mailing Address Po Box 4003
Macon
GA 31208
Practice Telephone 5017641201
Practice Fax Number 5017641204
Mailing Telephone 4787559966
Mailing Fax Number 4787559964
Enumeration Date 2006-03-14
Last Update Date 2007-11-28
Authorized Official Name PETER O HOLLIDAY III (DIRECTOR)
Authorized Official Telephone 4784742360
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5C460 01

Office Location

Street Address 2585 DONAGHEY AVE
SUITE 109
City CONWAY
State AR
Zip Code 72032-2327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922436690 Meaghan Nix Radiologic Technologist 2585 Donaghey Ave, Suite 109, Conway, AR 72032-2327 2013-10-16
1083830079 Patricia Fern Williams Radiologic Technologist 2585 Donaghey Ave, Ste 109, Conway, AR 72032-2327 2007-04-18
1538180203 Gary Ronald Hill Radiologic Technologist 2585 Donaghey Ave, Ste S-109, Conway, AR 72032-2327 2006-07-21
1336167352 Sherry A Summitt Radiologic Technologist 2585 Donaghey Ave, Conway, AR 72032-2327 2006-07-17
1578598272 Lauren Michelle Hamlin Radiologic Technologist 2585 Donaghey Ave, Suite 109, Conway, AR 72032-2327 2006-07-11
1548290612 Alan Ryan Meyer Chiropractor 2585 Donaghey Ave, Suite 104, Conway, AR 72032-2327 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730789843 Amelia S Lasater Pharmacist 1155 Hwy 65n, Conway, AR 72032 2020-10-28
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1780222174 Eric Herman Boxnick Pharmacist 101 West Oak Street, Conway, AR 72032 2019-12-16
1932746070 Habilitation Center, LLC Psychiatric Residential Treatment Facility 161 Skunk Hollow Road, Conway, AR 72032 2019-12-09
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1275035602 Conway Dental Center Pllc Dentist 1600 E. Oak Street Suite B, Conway, AR 72032 2018-03-01
1750821625 Luke Osborne Physical Therapy Assistant 1 Thomas Ln, Conway, AR 72032 2017-02-27
1639620099 Sam's West, Inc. Technician/Technologist 1250 South Amity Rd, Conway, AR 72032 2016-10-20
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730585902 Arkansas Medical Imaging Jv LLC Clinic/Center 5701 Euper Ln, Fort Smith, AR 72903-3237 2014-11-14
1225105018 Open Aire Imaging Centers of America LLC Clinic/Center 5701 Euper Lane, Suite B, Ft Smith, AR 72903-3237 2006-11-29
1841384112 Valley Diagnostics Inc Clinic/Center 2504 W Main St, Suite H, Russellville, AR 72801-2533 2006-10-03
1235149469 Pope County Imaging Clinic/Center 3127 W 2nd Court, Ste A, Russellville, AR 72811 2006-08-09
1376503961 Chenal Mri LLC Clinic/Center 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 2006-03-27
1932169703 Open Mri of Searcy LLC Clinic/Center 2019 East Race Ave, Searcy, AR 72143 2006-03-25
1083694012 Northwest Arkansas Medical Imaging, Inc Clinic/Center 361 E Millsap Rd, Fayetteville, AR 72703-6289 2006-01-17
1376527390 Valley Diagnostics Inc Clinic/Center 2504 West Main, Suite H, Russellville, AR 72801 2005-12-02
1871575894 Mri Central Little Rock Inc Clinic/Center 4020 Richards Rd Ste D, North Little Rock, AR 72117-2744 2005-11-16
1588039291 Little Rock Mri LLC Clinic/Center 124 N Fillmore St, Little Rock, AR 72205-3322 2015-12-07
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Competitor

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City CONWAY
Zip Code 72032

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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