MED VENTURES MRI LLC NPI 1154784205

NPI Information

  • NPI: 1154784205
  • Provider Name: MED VENTURES MRI, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1075 LAFAYETTE PARKWAY
    STE 120
    LAGRANGE, GA
    ZIP 30241
  • Phone: (706) 845-9370

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NPI Details

MED VENTURES MRI, LLC is a diagnostic radiology radiology in Lagrange, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MED VENTURES MRI, LLC NPI is 1154784205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1075 LAFAYETTE PARKWAY
STE 120
LAGRANGE, GA
ZIP 30241
Phone: (706) 845-9370
Fax: (706) 845-9371

The provider's authorized official is Richard P. Hollstrom .
The authorized official title is Authorized Official and has the following contact phone number (706) 594-0687.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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