Provider Demographics
NPI:1801015516
Name:HORIZON OPEN MRI - COLUMBUS EAST
Entity Type:Organization
Organization Name:HORIZON OPEN MRI - COLUMBUS EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENY
Authorized Official - Middle Name:
Authorized Official - Last Name:RADEFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-493-4008
Mailing Address - Street 1:6465 E BROAD ST
Mailing Address - Street 2:STE 210
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1576
Mailing Address - Country:US
Mailing Address - Phone:614-860-0930
Mailing Address - Fax:
Practice Address - Street 1:6465 E BROAD ST
Practice Address - Street 2:STE 210
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1576
Practice Address - Country:US
Practice Address - Phone:614-860-0930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty