MED VENTURES MRI, LLC
NPI 1154784205
Radiology - Diagnostic Radiology in Lagrange, GA

Active since April 05, 2016
1075 LAFAYETTE PARKWAY, STE 120, LAGRANGE, GA 30241(706) 845-9370(706) 845-9371 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med Ventures Mri, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED VENTURES MRI, LLC (NPI 1154784205) is a healthcare organization registered as a diagnostic radiology in Lagrange, Georgia and active in the NPI registry since April 2016. The organization lists Richard P. Hollstrom, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154784205
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMED VENTURES MRI, LLC
Location Address1075 LAFAYETTE PARKWAY, STE 120Lagrange, GA 30241
Mailing Address1975 Hwy 54 W., Ste 205Peachtree City, GA 30269-4794 · (678) 561-9000 · Fax (770) 487-1232
Fax(706) 845-9371
Organization SubpartNo
Authorized OfficialRichard P. HollstromAuthorized Official · (706) 594-0687
Enumeration DateApril 5, 2016
NPI 1154784205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1075 LAFAYETTE PARKWAY, Lagrange, GA 30241

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1075 LAFAYETTE PARKWAY, SUITE 210
LAGRANGE, GA 30241
Physical Therapist
1075 LAFAYETTE PARKWAY, STE 220
LAGRANGE, GA 30241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med Ventures Mri, LLC's NPI number?

The NPI number for Med Ventures Mri, LLC is 1154784205. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Med Ventures Mri, LLC located?

Med Ventures Mri, LLC is located at 1075 Lafayette Parkway Ste 120, Lagrange, GA 30241. The listed phone number is (706) 845-9370.

What is Med Ventures Mri, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Med Ventures Mri, LLC was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.