Provider Demographics
NPI:1770545121
Name:MRI ASSOCIATES OF SPRING HILL, INC
Entity type:Organization
Organization Name:MRI ASSOCIATES OF SPRING HILL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEINHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-684-2811
Mailing Address - Street 1:6451 TOUCAN TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2642
Mailing Address - Country:US
Mailing Address - Phone:352-684-2811
Mailing Address - Fax:352-684-0212
Practice Address - Street 1:6451 TOUCAN TRL
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2642
Practice Address - Country:US
Practice Address - Phone:352-684-2811
Practice Address - Fax:352-684-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3801261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3400300OtherUNITED HEALTH CARE
FL77743389OtherAETNA
FLV2323OtherBCBS
FL000000001288OtherOPTIMUM
FL305955OtherAVMED
FL209428OtherWELLCARE/STAYWELL
FL9537761OtherCIGNA
FLE3334AMedicare ID - Type Unspecified
FLV2323OtherBCBS