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NPI Code Detail

MEDICARE: MED IMAGING, INC

MEDICARE: MED IMAGING, INC
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
12471S1302XSonography Radiologic Technologist
22471V0105XVascular Sonography Radiologic Technologist
3246XS1301XSonography Specialist/Technologist Cardiovascular

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00188359OTHERMSRAILROAD MEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073560983
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED IMAGING, INC
Provider Business Mailing Address
First Line : PO BOX 554
Second Line :
City : GREENVILLE
State : MS
Zip : 38702-0554
Country : US
Telephone Number : 662-335-5047
Fax Number : 662-335-5077
Provider Business Practice Location Address
First Line : 1700 WALKER LN
Second Line : SUITE 5
City : GREENVILLE
State : MS
Zip : 38701-7360
Country : US
Telephone Number : 662-335-5047
Fax Number : 662-335-5077
Authorized Official
Title or Position : OWNER - BUSINESS DIRECTOR
Name : MRS. ALLISON NIMROD
Credential :
Telephone Number : 662-335-5047
Provider Enumeration Date : 05/27/2006
Last Update Date : 10/21/2008

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Directions to “MED IMAGING, INC ” Practice Location

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