Medical Imaging, Llc, NPI 1194772111
Diagnostic Radiology Physician in Tupelo, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1194772111
NPI Entity Type Organization
Provider Name Medical Imaging, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 616 Crossover Rd, Tupelo, MS, US
Provider Mailing Address 616 Crossover Rd, Tupelo, MS, US, 388014944
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Marshall Gray Edmondson
Official Position PRESIDENT
Phone 662-620-7101

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

Medical Imaging, Llc
616 Crossover Rd

Tupelo, MS, US

Phone: 662-620-7101
Fax: 662-842-1457

Mailing Address

Medical Imaging, Llc
616 Crossover Rd
Tupelo, MS, US
ZIP 388014944
Phone: 662-620-7101
Fax: 662-842-1457

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
04984051 MS MEDICAID 05
529921640 AL MEDICAID 05

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