Provider Demographics
NPI:1396132957
Name:EASY MRI, INC.
Entity type:Organization
Organization Name:EASY MRI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:STUMP
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)(MR)
Authorized Official - Phone:574-527-1300
Mailing Address - Street 1:9921 COLDWATER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2041
Mailing Address - Country:US
Mailing Address - Phone:844-327-9674
Mailing Address - Fax:
Practice Address - Street 1:9921 COLDWATER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2041
Practice Address - Country:US
Practice Address - Phone:844-327-9674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)