Provider Demographics
NPI:1912270729
Name:PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC
Entity Type:Organization
Organization Name:PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC
Other - Org Name:COMMUNITY MRI SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:OHNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-223-7822
Mailing Address - Street 1:202 E GREENFIELD LN STE 100
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6597
Mailing Address - Country:US
Mailing Address - Phone:701-223-7822
Mailing Address - Fax:701-355-4301
Practice Address - Street 1:600 N 9TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4107
Practice Address - Country:US
Practice Address - Phone:701-355-4300
Practice Address - Fax:701-355-4301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIN TREATMENT CENTER ANESTHESIOLOGISTS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Single Specialty
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty