Provider Demographics
NPI:1336470632
Name:UNITED MRI NETWORK INC.
Entity Type:Organization
Organization Name:UNITED MRI NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-681-7304
Mailing Address - Street 1:3444 KEAMY VILLA RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1959
Mailing Address - Country:US
Mailing Address - Phone:800-681-7304
Mailing Address - Fax:800-813-6405
Practice Address - Street 1:3444 KEARNY VILLA DR
Practice Address - Street 2:SUITE 405
Practice Address - City:SAN DEIGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:800-681-7304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)