Provider Demographics
NPI:1770022360
Name:FIRST LOOK MRI, LLC
Entity Type:Organization
Organization Name:FIRST LOOK MRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-316-2677
Mailing Address - Street 1:2730 NORTHLAKE RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-1835
Mailing Address - Country:US
Mailing Address - Phone:678-316-2677
Mailing Address - Fax:
Practice Address - Street 1:1980 FRIENDSHIP RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-4154
Practice Address - Country:US
Practice Address - Phone:678-316-2677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty