MEDICARE: MED IMAGING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2471S1302X	Sonography Radiologic Technologist
2	2471V0105X	Vascular Sonography Radiologic Technologist
3	246XS1301X	Sonography Specialist/Technologist Cardiovascular

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00188359	OTHER	MS	RAILROAD MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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

Language	Start Address	Practice Location

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