MEDICARE: MRI SOLUTIONS LTD

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	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0291DC	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831150101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MRI SOLUTIONS LTD

Provider Business Mailing Address
First Line	:	PO BOX 21778
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76702-1778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6211 OAKMONT BLVD
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-2812
Country	:	US
Telephone Number	:	469-757-1000
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	PHILIP MALONE
Credential	:
Telephone Number	:	405-321-8125

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/15/2008

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Directions to “MRI SOLUTIONS LTD ” Practice Location

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