MEDICARE: MVI RADIOLOGY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1386590701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MVI RADIOLOGY, INC.

Provider Business Mailing Address
First Line	:	2522 N DRYDEN PL
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2655
Country	:	US
Telephone Number	:	847-312-0014
Fax Number	:	800-507-6944

Provider Business Practice Location Address
First Line	:	2522 N DRYDEN PL
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-2655
Country	:	US
Telephone Number	:	847-312-0014
Fax Number	:	800-507-6944

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LYUBOV VRUBLEVSKA
Credential	:
Telephone Number	:	847-312-0014

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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