| 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) |
| Entity Number: | 000-660-400 |
| Register Number: | 000660400 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 7500 HUGH DANIEL DRHOOVER, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Principal Address: | HOOVER, AL |
Activities
OWN MEDICAL EQUIPMENT/PHYSICAL OFFICE SPACE
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| EICHELBERGER, ROBERT P | Agent | 7500 DANIEL DRBIRMINGHAM, AL 35242 |
| 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
