Organization
MID-SOUTH IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M DUCKETT (SR VP/CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
363 SOUTHCREST CIR STE 102, SOUTHAVEN, MS 38671-4737
(662) 772-4615
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-5233
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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