Provider Demographics
NPI:1205021342
Name:OPEN MRI CO
Entity Type:Organization
Organization Name:OPEN MRI CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-670-9166
Mailing Address - Street 1:3009 SMITH RD
Mailing Address - Street 2:350
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2666
Mailing Address - Country:US
Mailing Address - Phone:330-665-9166
Mailing Address - Fax:
Practice Address - Street 1:5400 LAUBY RD
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1598
Practice Address - Country:US
Practice Address - Phone:330-665-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service