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PIONEER MEDICAL PORTABLE XRAYLLC NPI 1619204203


NPI Information

NPI: 1619204203
Provider Name: PIONEER MEDICAL PORTABLE XRAY,LLC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
100 CLARENDON AVE
PETAL, MS
ZIP 39465
Phone: (601) 550-4611
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PIONEER MEDICAL PORTABLE XRAY,LLC is a portable x ray and or other portable diagnostic imaging supplier in Petal, MS. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PIONEER MEDICAL PORTABLE XRAY,LLC NPI is 1619204203. The provider is registered as an organization entity type.

The provider's business location address is:

100 CLARENDON AVE
PETAL, MS
ZIP 39465-636
Phone: (601) 550-4611
Fax: (601) 510-9449

The provider's authorized official is Ted H Crabtree .
The authorized official title is Owner and has the following contact phone number (601) 550-4611.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 11/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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