Provider Demographics
NPI:1386948594
Name:MVP IMAGING, LLC
Entity type:Organization
Organization Name:MVP IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:RANDOLPH MAXWELL
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-375-7575
Mailing Address - Street 1:PO BOX 731416
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-1416
Mailing Address - Country:US
Mailing Address - Phone:713-375-7575
Mailing Address - Fax:713-487-1526
Practice Address - Street 1:3820 POINTE PKWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2000
Practice Address - Country:US
Practice Address - Phone:409-899-9090
Practice Address - Fax:409-899-9591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory