MED VENTURES MRI, LLC – NPI #1154784205
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MED VENTURES MRI, LLC is a radiologist located in LAGRANGE, GA. NPPES has assigned the NPI number 1154784205 to MED VENTURES MRI, LLC on April 05, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MED VENTURES MRI, LLC below.

NPI Profile for
MED VENTURES MRI, LLC

NPI Number
1154784205
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED VENTURES MRI, LLC
Primary location
1075 LAFAYETTE PARKWAY
STE 120
LAGRANGE, GA 30241
Phone: (706) 845-9370 Fax: (706) 845-9371
Mailing address
1975 HWY 54 W.
STE 205
PEACHTREE CITY, GA 30269-4794
Phone: (678) 561-9000 Fax: (770) 487-1232
Organization Subpart
No
Authorized Official
RICHARD HOLLSTROM
AUTHORIZED OFFICIAL
Phone: (706) 594-0687
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.