Community Open Mri Of Auburn, LLC
Clinic/Center, Radiology in Fort Wayne, IN. Organization (NPI-2).
NPI number1760109243
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1760109243
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Open Mri Of Auburn, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 25, 2022
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Other names
- Choice Imaging (Doing Business As)
Practice location
1850 E Dupont RdFort Wayne, IN 46825-1581
Phone 260-422-1491 · Fax 260-423-1421
Mailing address
196 W Spotswood AveElkton, VA 22827-1169
Phone 804-217-7114 · Fax 804-217-7120
Authorized official
John Steven Platusic
Chief Operations Officer
8043631007
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