Provider Demographics
NPI:1417106998
Name:FAMILY MRI INC.
Entity Type:Organization
Organization Name:FAMILY MRI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIANETSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-405-6307
Mailing Address - Street 1:75 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4895
Mailing Address - Country:US
Mailing Address - Phone:301-631-3674
Mailing Address - Fax:301-631-3675
Practice Address - Street 1:75 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE F
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4895
Practice Address - Country:US
Practice Address - Phone:301-631-3674
Practice Address - Fax:301-631-3675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty