| NPI | 1528946662 |
|---|---|
| Other Name | MIVS, LLC |
| Entity Type | Organization |
| Authorized Contact | FREDERICK DWAYNE JOHNSON Owner 501-348-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-09-06 |