Provider Demographics
NPI:1366230187
Name:OPEN MRI SOLUTIONS LLC
Entity type:Organization
Organization Name:OPEN MRI SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:BONILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-244-2442
Mailing Address - Street 1:4130 E VAN BUREN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6996
Mailing Address - Country:US
Mailing Address - Phone:602-244-2442
Mailing Address - Fax:
Practice Address - Street 1:5030 W MCDOWELL RD STE 12
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-3946
Practice Address - Country:US
Practice Address - Phone:602-244-2442
Practice Address - Fax:602-244-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology