Organization
MIDSOUTH RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ELAM (OWNER)
(256) 272-8344
Entity
Organization
Contact information
Practice address
360 OLD BROMPTON LN, KILLEN, AL 35645-8644
(256) 272-8344
(256) 412-9902
Mailing address
360 OLD BROMPTON LN, KILLEN, AL 35645-8644
(256) 272-8344
(256) 412-9902
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
AL
Other
Enumeration date
05/31/2006
Last updated
07/24/2008
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