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Open MRI of Oxford, LLC

Details

Name: Open MRI of Oxford, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jul 1998 (26 years ago) (Companies founded in July 1998)
Entity Number: 000-660-400
Register Number: 000660400
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 7500 HUGH DANIEL DRHOOVER, AL 35242
Principal Address: HOOVER, AL

Activities OWN MEDICAL EQUIPMENT/PHYSICAL OFFICE SPACE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972616555 2006-08-16 2012-12-28 1612 HAMRIC DR E, STE. 101, OXFORD, AL, 362038024, US 1612 HAMRIC DR E, STE. 101, OXFORD, AL, 362038024, US

Contacts

Phone +1 256-832-0007

Authorized person

Name MISS TRACY AUSTIN
Role MANAGER
Phone 2564737091

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
License Number 711
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NPI
Number 1942282173
State AL
Issuer NPI
Number 1427003706
State AL
Issuer NPI
Number 1427030642
State AL
Issuer NPI
Number 1659353886
State AL
Issuer GROUP NPI
Number 1972616555
State AL
Issuer JAMES SPANN, M.D. - NPI #
Number 1306051164
State AL
Issuer NPI
Number 1598747719
State AL
Issuer NPI - BERGQUIST
Number 1023040409
State AL
Issuer NPI
Number 1235111451
State AL
Issuer NPI
Number 1083655187
Issuer NPI
Number 1124000344
State AL
Issuer NPI
Number 1730146069
State AL
Issuer JAMES SPANN, MD. - BCBS ID #
Number 51116985
State AL

Agent

Name Role Address
EICHELBERGER, ROBERT P Agent 7500 DANIEL DRBIRMINGHAM, AL 35242

Member

Name Role Address
HOLLIDAY, PETER O III Member No data
EICHELBERGER, ROBERT P Member 7500 DANIEL DRBIRMINGHAM, AL 35242
BURKE, SAMUEL J Member No data
DAVIS, PAM Member 133 MARKET PLACEMONTGOMERY, AL 36117

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State