Provider Demographics
NPI:1477935187
Name:SPRING MRI LLC
Entity Type:Organization
Organization Name:SPRING MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-773-2018
Mailing Address - Street 1:20639 KUYKENDAHL RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20639 KUYKENDAHL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3318
Practice Address - Country:US
Practice Address - Phone:832-610-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)