MID-TEXAS MRI LLC NPI 1215544408

NPI Information

  • NPI: 1215544408
  • Provider Name: MID-TEXAS MRI, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: MILLENNIUM MRI
  • Address: 811 CENTRAL DR
    ODESSA, TX
    ZIP 79761
  • Phone: (432) 227-0067

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NPI Details

MID-TEXAS MRI, LLC is a diagnostic radiology radiology in Odessa, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MID-TEXAS MRI, LLC NPI is 1215544408. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Millennium Mri.

The provider's business location address is:

811 CENTRAL DR
ODESSA, TX
ZIP 79761-201
Phone: (432) 227-0067
Fax: (432) 400-2599

The provider's authorized official is Miroslav Jaksic .
The authorized official title is Managing Member and has the following contact phone number (810) 623-3211.

The enumeration date for this NPI number is 9/30/2020 and was last updated on 5/7/2022.

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 RadiologyYes

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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