MTV Ir Lab, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MTV IR LAB, LLC

Practice address

9101 N Central Expy Ste 520
Dallas, TX 75231-5955

Phone

(469) 458-9800

Fax

(469) 458-9900

NPI assigned

Sep 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Travis Allen Van Meter, MDNPI 1750339461

Title

President

Phone

(469) 458-9800

Specialties & licenses 1

Addresses

Other names 1

• MTV IR Interventional Lab Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Van Meter, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1750339461
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1083262091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315955",
            "telephone_number": "469-458-9800",
            "fax_number": "469-458-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315955",
            "telephone_number": "469-458-9800",
            "fax_number": "469-458-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTV IR LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-458-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTV IR Interventional Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mt.Tekilo Transport LLC
• Mt.Zion,Inc
• MTC Anesthesia PLLC
• MTC Anesthesia, LLP
• MTS Health Services LLC
• MTV Ir PLLC
• Anas Muaamar
• Irini Muca
• April Ellen Mucciacciaro, M.ED., LMFTA
• Kathy Lammedal Mucha, FPMHNP

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.