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Organization

PRECIOUS IMAGES ULTRASOUND, LLC

Active
Parent organization
PRECIOUS IMAGES ULTRASOUND, LLC
Other names
SBT Diagnostic Centers
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRECIOUS IMAGES ULTRASOUND, LLC
Authorized official
ADOLPHINA GOODWIN (OWNER/SONOGRAPHER)
(601) 869-0866
Entity
Organization

Contact information

Practice address
1006 TOP STREET, SUITE H, FLOWOOD, MS 39232-7643
(601) 869-0866
(601) 869-0877
Mailing address
1006 TOP ST, SUITE H, FLOWOOD, MS 39232-7642
(601) 869-0866
(601) 869-0877

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00978841
MS
Enumeration date
01/30/2009
Last updated
01/11/2017
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