Provider Demographics
NPI:1598958795
Name:NEW CONCEPTS OPEN MRI, LLC
Entity Type:Organization
Organization Name:NEW CONCEPTS OPEN MRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HUGHES
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:660-665-8008
Mailing Address - Street 1:612 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-2477
Mailing Address - Country:US
Mailing Address - Phone:660-665-8008
Mailing Address - Fax:660-665-4534
Practice Address - Street 1:612 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-2477
Practice Address - Country:US
Practice Address - Phone:660-665-8008
Practice Address - Fax:660-665-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG58160Medicare UPIN
MO000093071Medicare PIN