OrganizationActive
Mid-Texas Mri, LLC
NPI 1215544408 · Diagnostic Radiology Physician · Odessa, TX
Provider details
- NPI number
- 1215544408
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miroslav Jaksic, Managing Member(810) 623-3211
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 Central Dr
Odessa, TX 79761-4201
Phone: (432) 227-0067
Fax: (432) 400-2599
Street-level locationGet directions
Mailing address
2929 S Caraway Rd Ste 6
Jonesboro, AR 72401-7335
Other names (DBA / former)
- Doing business as
- Millennium Mri
Additional practice locations (1)
- 800 W 4th StNorth Little Rock, AR 72114-5364Phone: (501) 500-0051Fax: (501) 500-0052
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2022-05-07
- Certified
- 2022-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.