Organization

Mid-south Imaging Center Llc

Clinic/Center in Southaven, MS(View on Map)

Legal Business Name

Mid-south Imaging Center Llc

NPI Number

1245966324

NPI Type

Organization

Enumeration Date

07/29/2022

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

350 N HUMPHREYS BLVD
363 SOUTHCREST CIR STE 102

City

Memphis
Southaven

State

TN
MS

Postal Code

38120-2177
38671-4737

Country

US
US

Telephone Number

(901) 227-5233
(662) 772-4615

Authorized Official

Name

Mr. Gregory Duckett

Title or Position

SR VP/CLO

Telephone Number

(901) 227-5233

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2022

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