Provider Demographics
NPI:1821042805
Name:MCKINNEY OPEN MRI LLC
Entity Type:Organization
Organization Name:MCKINNEY OPEN MRI LLC
Other - Org Name:MCKINNEY OPEN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-496-5267
Mailing Address - Street 1:PO BOX 21820
Mailing Address - Street 2:DEPT 1337
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74121-1820
Mailing Address - Country:US
Mailing Address - Phone:888-922-2299
Mailing Address - Fax:
Practice Address - Street 1:1717 W UNIVERSITY DR
Practice Address - Street 2:SUITE 405
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3218
Practice Address - Country:US
Practice Address - Phone:214-544-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX107Medicare ID - Type Unspecified