# MIDSOUTH SONOGRAMS LLC

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

## Provider details

- **NPI number:** 1730953431
- **Authorized official:** VERONICA LEANN RODGERS RDMS (OWNER)
- **Authorized official phone:** (901) 494-2038

## Contact information

- **Practice address:** 58 DOCTORS DR, MUNFORD, TN 38058-6301
- **Practice address phone:** (901) 494-2038
- **Mailing address:** 1153 CHARLES PL, MUNFORD, TN 38058-4746
- **Mailing address phone:** (901) 494-2038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2023
- **Last updated:** 01/22/2024