Provider Demographics
NPI:1255444113
Name:VERTICAL PLUS MRI OF AMERICA, LLC, SERIES 7, SARASOTA
Entity type:Organization
Organization Name:VERTICAL PLUS MRI OF AMERICA, LLC, SERIES 7, SARASOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MERRITT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROALSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-799-1144
Mailing Address - Street 1:3330 W 177TH ST
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2184
Mailing Address - Country:US
Mailing Address - Phone:708-799-4940
Mailing Address - Fax:708-799-0641
Practice Address - Street 1:7222 S TAMIAMI TRL
Practice Address - Street 2:UNIT 107 AND 108
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-5567
Practice Address - Country:US
Practice Address - Phone:941-926-0400
Practice Address - Fax:941-556-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU4335Medicare ID - Type Unspecified