Basic Information
| Provider Information | |||||||||
| NPI: | 1881636942 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MCDOWELL MRI, L.L.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 430 RANKIN DRIVE | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286595100 | ||||||||
| FaxNumber: | 8286521626 | ||||||||
| Practice Location | |||||||||
| Address1: | 430 RANKIN DR | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287526568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286595100 | ||||||||
| FaxNumber: | 8286521626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 01/18/2008 | ||||||||
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| AuthorizedOfficialLastName: | BROWN | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8286595104 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1200X | 0597542 | NC | Y | Ambulatory Health Care Facilities | Clinic/Center | Magnetic Resonance Imaging (MRI) |
No ID Information.