Provider Demographics
NPI:1629021100
Name:OPEN MRI OF ROBINSON, LTD.
Entity Type:Organization
Organization Name:OPEN MRI OF ROBINSON, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-266-7674
Mailing Address - Street 1:1928 PARK MANOR BLVD
Mailing Address - Street 2:SPACE 507
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4809
Mailing Address - Country:US
Mailing Address - Phone:412-788-0901
Mailing Address - Fax:412-788-0904
Practice Address - Street 1:1928 PARK MANOR BLVD
Practice Address - Street 2:SPACE 507
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4809
Practice Address - Country:US
Practice Address - Phone:412-788-0901
Practice Address - Fax:412-788-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTAX ID NUMBER
OH=========OtherTAX ID NUMBER