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MEDICAL IMAGING LLC NPI 1194772111


NPI Information

NPI: 1194772111
Provider Name: MEDICAL IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
616 CROSSOVER RD
TUPELO, MS
ZIP 38801
Phone: (662) 620-7101
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MEDICAL IMAGING, LLC is a diagnostic radiology radiology in Tupelo, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL IMAGING, LLC NPI is 1194772111. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

616 CROSSOVER RD
TUPELO, MS
ZIP 38801-944
Phone: (662) 620-7101
Fax: (662) 842-1457

The provider's authorized official is Marshall Gray Edmondson .
The authorized official title is President and has the following contact phone number (662) 620-7101.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/9/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529921640MEDICAIDALABAMA
2C03203MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
304984051MEDICAIDMISSISSIPPI

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: 11/14/2023

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