Organization
MEMPHIS IMAGING AND PATHOLOGY MIP
Active
Other names
MIP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP RODNEY BOWDEN M.D. (MEDICAL DIRECTOR)
(901) 272-7200
Entity
Organization
Contact information
Practice address
1417 MONROE AVE, MEMPHIS, TN 38104-3634
(901) 272-7200
(901) 260-5916
Mailing address
1417 MONROE AVE, MEMPHIS, TN 38104-3634
(901) 272-7200
(901) 260-5916
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
44D0912700
TN
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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