Mid-Texas MRI, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MID-TEXAS MRI, LLC

Doing business as

Millennium MRI

Practice address

811 Central Dr
Odessa, TX 79761-4201

Phone

(432) 227-0067

Fax

(432) 400-2599

NPI assigned

Sep 30, 2020

Last updated

May 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Miroslav Jaksic

Title

Managing Member

Phone

(810) 623-3211

Specialties & licenses 1

Addresses

Other names 1

• Millennium MRI Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1215544408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S CARAWAY RD STE 6",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017335",
            "telephone_number": "810-623-3211",
            "fax_number": "432-400-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CENTRAL DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614201",
            "telephone_number": "432-227-0067",
            "fax_number": "432-400-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W 4th St",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721145364",
            "country_code": "US",
            "telephone_number": "501-500-0051",
            "fax_number": "501-500-0052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-TEXAS MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "JAKSIC",
        "authorized_official_first_name": "MIROSLAV",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "810-623-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Odessa",
            "affiliation": "N",
            "address_1": "811 Central Dr",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797614201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Millennium MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael a Buzbee (Grandview Eye)
• Michael E Feeser OD PLLC (Total Vision Center)
• Michael Edwards, D.P.M., P.a. Podiatrist
• Michael L. Reznik, D.D.S., M.S., Inc
• Linda Carol Mick, PHARMD
• Midessa Transportation, LLC
• Midland County Hospital District (Madison Medical Resort)
• Midland County Hospital District (Focused Care at Odessa)
• Jackie Mier
• Migdalia Monzon MD PA

• Diagnostic Radiology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.