OPEN MRI, LLC – NPI #1265457030
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

OPEN MRI, LLC is a physiological laboratory located in GULFPORT, MS. NPPES has assigned the NPI number 1265457030 to OPEN MRI, LLC on July 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 18 years ago on Jul 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN MRI, LLC below.

NPI Profile for
OPEN MRI, LLC

NPI Number
1265457030
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN MRI, LLC
Primary location
14245 DEDEAUX RD
GULFPORT, MS 39503-3369
Phone: (228) 314-7226 Fax: (228) 314-7227
Mailing address
PO BOX 2819
GULFPORT, MS 39505-2819
Phone: (228) 314-7226 Fax: (228) 314-7227
Organization Subpart
No
Authorized Official
WILLIAM HENRY
OWNER
Phone: (228) 314-7226
Updated
Identifiers

Identifiers for OPEN MRI, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDIANNA RAGULA1154338879
OTHERDR RICHARD HAYS NPI1831232479
OTHERDR WILLIAM HENRY NPI1144363771
MEDICAIDMS16169
MEDICAIDMS10410
MEDICAIDMS03733573
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.