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MIMO MEDICAL SERVICES, LLC
NPI 1871107474
Family Medicine in Magnolia, AR

Active since September 02, 2020
2506 CRESTVIEW DR, MAGNOLIA, AR 71753(479) 530-1308(479) 968-1673 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mimo Medical Services, Llc NPPES

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

MIMO MEDICAL SERVICES, LLC (NPI 1871107474) is a healthcare organization registered as a family medicine in Magnolia, Arkansas and active in the NPI registry since September 2020. The organization lists Mathias Groguhe, Managing Employee, as its authorized official.

NPPES Registry Identity

NPI1871107474
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIMO MEDICAL SERVICES, LLC
Location Address2506 CRESTVIEW DRMagnolia, AR 71753-4336
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (800) 824-4094 · Fax (479) 968-1673
Phone(479) 530-1308
Fax(479) 968-1673
Organization SubpartNo
Authorized OfficialMathias GroguheManaging Employee · (512) 201-6766
Enumeration DateSeptember 2, 2020
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1871107474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2506 CRESTVIEW DR, Magnolia, AR 71753
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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

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 Mimo Medical Services, LLC's NPI number?

The NPI number for Mimo Medical Services, LLC is 1871107474. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Mimo Medical Services, LLC located?

Mimo Medical Services, LLC is located at 2506 Crestview Dr, Magnolia, AR 71753. The listed phone number is (479) 530-1308.

What is Mimo Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mimo Medical Services, LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.