Provider Demographics
NPI:1356524326
Name:RENO OPENAIR MRI, INC.
Entity type:Organization
Organization Name:RENO OPENAIR MRI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAITANO
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:775-851-7626
Mailing Address - Street 1:500 DAMONTE RANCH PKWY
Mailing Address - Street 2:STE. 765
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5912
Mailing Address - Country:US
Mailing Address - Phone:775-851-7626
Mailing Address - Fax:775-851-7635
Practice Address - Street 1:500 DAMONTE RANCH PKWY
Practice Address - Street 2:STE. 765
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5912
Practice Address - Country:US
Practice Address - Phone:775-851-7626
Practice Address - Fax:775-851-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV81402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37927Medicare PIN
NVV37926Medicare PIN