Provider Demographics
NPI:1497186928
Name:ROMRI LLC
Entity Type:Organization
Organization Name:ROMRI LLC
Other - Org Name:M1 IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-220-3335
Mailing Address - Street 1:27501 WOODWARD AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-0904
Mailing Address - Country:US
Mailing Address - Phone:248-220-3335
Mailing Address - Fax:248-220-3336
Practice Address - Street 1:27501 WOODWARD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-0904
Practice Address - Country:US
Practice Address - Phone:248-220-3335
Practice Address - Fax:248-220-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)