Organization
PARKER IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NICOLE PARKER RDMS, RVT, RDCS (OWNER)
(662) 462-5919
Entity
Organization
Contact information
Practice address
64 MAIN STREET, RIENZI, MS 38865-9702
(662) 462-5919
Mailing address
PO BOX 2, RIENZI, MS 38865-0002
(662) 462-5919
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
MRT1561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09039548
—
MS
Enumeration date
11/21/2006
Last updated
08/22/2020
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