# MEDFUSION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407305030
- **Authorized official:** MISTI MCNICHOLS (BUSINESS DEVELOPMENT CONSULTANT)
- **Authorized official phone:** (601) 479-5972

## Contact information

- **Practice address:** 2 OLD RIVER PL, SUITE C, JACKSON, MS 39202-3435
- **Practice address phone:** (601) 479-5972
- **Mailing address:** 2 OLD RIVER PLACE, SUITE C, JACKSON, MS 39202
- **Mailing address phone:** (601) 479-5972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | MS | Yes |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 09/23/2016