Provider Demographics
NPI:1629072673
Name:MRI GROUP, LLP
Entity Type:Organization
Organization Name:MRI GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:M
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RTR,MR
Authorized Official - Phone:717-358-1322
Mailing Address - Street 1:PO BOX 4216
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-4216
Mailing Address - Country:US
Mailing Address - Phone:717-358-1322
Mailing Address - Fax:717-291-4683
Practice Address - Street 1:560 N LIME ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2216
Practice Address - Country:US
Practice Address - Phone:717-241-1016
Practice Address - Fax:717-291-4683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACK5853OtherRR MEDICARE
PACK5853OtherRR MEDICARE
PACK5853OtherRR MEDICARE