Provider Demographics
NPI:1255529723
Name:MRI CENTERS
Entity type:Organization
Organization Name:MRI CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RITO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-791-4338
Mailing Address - Street 1:23441 MADISON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4734
Mailing Address - Country:US
Mailing Address - Phone:310-373-0000
Mailing Address - Fax:310-373-3748
Practice Address - Street 1:23441 MADISON ST STE 100
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4734
Practice Address - Country:US
Practice Address - Phone:310-373-0000
Practice Address - Fax:310-373-3748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG20321OtherDR GOLD CA LICENSE#
CAG23323OtherDR SOSTRIN CA LICENSE#
CAG23323OtherDR SOSTRIN CA LICENSE#
CAA40897Medicare UPIN
CAW7961BMedicare PIN