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Organization
IMAGING CENTERS FOR EXCELLENCE, LLC
Active
Organization
IMAGING CENTERS FOR EXCELLENCE, LLC
Active
Other names
Premier Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON WYATT BARROW III M.D. (PRESIDENT)
(662) 620-7101
Entity
Organization
Contact information
Practice address
1207 HIGHWAY 182 WEST, STARKVILLE, MS 39759-9529
(662) 320-6800
(662) 320-2050
Mailing address
620 CROSSOVER RD, SUITE A, TUPELO, MS 38801-4944
(662) 620-7102
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06254300
—
MS
01
—
DF3688
RAILROAD MEDICARE
MS
Enumeration date
09/05/2006
Last updated
08/26/2021
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