Organization
IMAGING CENTERS FOR EXCELLENCE, LLC
Active
Other names
Premier Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON WYATT BARROW III M.D. (PRESIDENT)
(662) 620-7101
Entity
Organization
Contact information
Practice address
1207 HIGHWAY 182 WEST, STARKVILLE, MS 39759-9529
(662) 320-6800
(662) 320-2050
Mailing address
620 CROSSOVER RD, SUITE A, TUPELO, MS 38801-4944
(662) 620-7102
(662) 620-7106
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06254300
—
MS
01
—
DF3688
RAILROAD MEDICARE
MS
Enumeration date
09/05/2006
Last updated
08/26/2021
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