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NPI Code Detail

MEDICARE: EMERALD IMAGING INC

MEDICARE: EMERALD 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
1171W00000XContractor

General Provider Information

NPI Number : 1568517803
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERALD IMAGING INC
Provider Business Mailing Address
First Line : 2552 POPLAR AVE
Second Line : STE 406
City : MEMPHIS
State : TN
Zip : 38112-3852
Country : US
Telephone Number : 901-458-5383
Fax Number :
Provider Business Practice Location Address
First Line : 2552 POPLAR AVE
Second Line : STE 406
City : MEMPHIS
State : TN
Zip : 38112-3852
Country : US
Telephone Number : 901-458-5383
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. FELICIA TASHAWN DILLON
Credential :
Telephone Number : 901-458-5383
Provider Enumeration Date : 01/25/2007
Last Update Date : 08/22/2020

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Directions to “EMERALD IMAGING INC ” Practice Location

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