Provider Demographics
NPI:1346025988
Name:BV OPEN MRI LLC
Entity Type:Organization
Organization Name:BV OPEN MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DELVECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:MRI TECHNOLOGIST
Authorized Official - Phone:512-293-2000
Mailing Address - Street 1:11400 STATE HIGHWAY 30 STE 1102
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-7948
Mailing Address - Country:US
Mailing Address - Phone:979-402-7437
Mailing Address - Fax:
Practice Address - Street 1:11400 STATE HIGHWAY 30 STE 1102
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-7948
Practice Address - Country:US
Practice Address - Phone:979-402-7437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Single Specialty