Med Ventures Mri, Llc, NPI 1154784205
Diagnostic Radiology Physician in Lagrange, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154784205
NPI Entity Type Organization
Provider Name Med Ventures Mri, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1075 Lafayette Parkway, Ste 120, Lagrange, GA, US
Provider Mailing Address 1975 Hwy 54 W., Ste 205, Peachtree City, GA, US, 302694794
Is Sole Proprietor? No
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Organization Official

Official Name MR. DPM Richard P. Hollstrom JR.
Official Position AUTHORIZED OFFICIAL
Phone 706-594-0687

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

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

Business Address

Med Ventures Mri, Llc
1075 Lafayette Parkway
Ste 120

Lagrange, GA, US

Phone: 706-845-9370
Fax: 706-845-9371

Mailing Address

Med Ventures Mri, Llc
1975 Hwy 54 W.
Ste 205
Peachtree City, GA, US
ZIP 302694794
Phone: 678-561-9000
Fax: 770-487-1232

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