Provider Demographics
NPI:1881775591
Name:FRANKLIN OPEN MRI LLC
Entity type:Organization
Organization Name:FRANKLIN OPEN MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:HANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-343-9950
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47202-0279
Mailing Address - Country:US
Mailing Address - Phone:317-346-7711
Mailing Address - Fax:317-346-7706
Practice Address - Street 1:1130 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2759
Practice Address - Country:US
Practice Address - Phone:317-346-7711
Practice Address - Fax:317-346-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN186790Medicare ID - Type Unspecified