Diagnostic Radiology Associates, Pa in Jackson - Body Imaging
Diagnostic Radiology Associates, Pa - NPI 1407860315
Diagnostic Radiology Associates, Pa is a Body Imaging in Jackson, Mississippi. Diagnostic Radiology Associates, Pa practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Diagnostic Radiology Associates, Pa is 1407860315. The last update date is 2014-02-26.
Diagnostic Radiology Associates, Pa's current location address is Po Box 4710, Jackson, Mississippi. You can contact this provider via phone number 6019360494. The mailing address for Diagnostic Radiology Associates, Pa is Po Box 4710, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diagnostic Radiology Associates, Pa |
|---|---|
| Address | Po Box 4710, Jackson, Mississippi |
| Phone Number | 6019360494 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Fortson Scott Jeffrey |
| Telephone Number | 7705903848 |
NPI Number Detail
| NPI Number | 1407860315 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2014-02-26 |
Provider Mailing Address Detail
| Address | Po Box 4710 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392964710 |
| Phone Number | 6019360494 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9011383 | MS | -- | |
| CL2516 | MS | RR MEDICARE |
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What is the Diagnostic Radiology Associates, Pa's unique identification number?
The Diagnostic Radiology Associates, Pa has been assigned the NPI (National Provider Identifier) Number 1407860315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Diagnostic Radiology Associates, Pa located?
The Diagnostic Radiology Associates, Pa is located at Po Box 4710, Jackson, MS 392964710.
What is Diagnostic Radiology Associates, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diagnostic Radiology Associates, Pa's area of specialization is Body Imaging, and the corresponding taxonomy code that categorizes this field of practice is 2085B0100X.
When did the Diagnostic Radiology Associates, Pa receive its 1407860315?
The Diagnostic Radiology Associates, Pa was issued its 1407860315 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
When was the Diagnostic Radiology Associates, Pa's information last updated?
The Diagnostic Radiology Associates, Pa's information was last updated on 2014-02-26.