Organization
MED IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON NIMROD (OWNER - BUSINESS DIRECTOR)
(662) 335-5047
Entity
Organization
Contact information
Practice address
1700 WALKER LN, SUITE 5, GREENVILLE, MS 38701-7360
(662) 335-5047
(662) 335-5077
Mailing address
PO BOX 554, GREENVILLE, MS 38702-0554
(662) 335-5047
(662) 335-5077
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125078
—
MS
01
—
P00188359
RAILROAD MEDICARE ID
MS
Enumeration date
05/27/2006
Last updated
10/21/2008
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