Jason H Clark & Sandra J Clark, NPI 1912185927
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Water Valley, MS, US
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 | 1912185927 |
| NPI Entity Type | Organization |
| Provider Name | Jason H Clark & Sandra J Clark |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 139 County Road 379, Water Valley, MS, US |
| Provider Mailing Address | Po Box 994, Oxford, MS, US, 386550994 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Jason Clark |
| Official Position | OWNER |
| Phone | 662-514-5215 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Classification |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Group | |
| License No. | MRT2279 |
| License State | MS |
| Description | A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
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