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General NPI Number Information
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NPI Number | 1073560983
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Entity Type | Organization
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Legal Business Name | MED IMAGING, INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 1700 WALKER LN SUITE 5
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City | GREENVILLE
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State | MS
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Zip | 38701-7360
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Country | US
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Telephone | 662-335-5047
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Fax | 662-335-5077
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Provider Business Mailing Address
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Address Line | PO BOX 554
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City | GREENVILLE
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State | MS
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Zip | 38702-0554
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Country | US
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Telephone | 662-335-5047
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Fax | 662-335-5077
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Authorized Official
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Title or Position | OWNER - BUSINESS DIRECTOR
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Name | MRS. ALLISON NIMROD
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Credential |
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Telephone | 662-335-5047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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