Mid-South Imaging & Therapeutics, P.A. in Germantown - Diagnostic Radiology

Mid-South Imaging & Therapeutics, P.A. - NPI 1043260763

Mid-South Imaging & Therapeutics, P.A. is a Diagnostic Radiology in Germantown, Tennessee. Mid-South Imaging & Therapeutics, P.A. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mid-South Imaging & Therapeutics, P.A. is 1043260763. The last update date is 2021-08-11.

Mid-South Imaging & Therapeutics, P.A.'s current location address is 7600 Wolf River Blvd., Germantown, Tennessee. You can contact this provider via phone number 9017471000 and fax number 9017471001. The mailing address for Mid-South Imaging & Therapeutics, P.A. is 7600 Wolf River Blvd., Germantown, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mid-South Imaging & Therapeutics, P.A.
Address 7600 Wolf River Blvd., Germantown, Tennessee
Phone Number 9017471000
Fax Number 9017471001
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ellzey A John
Credentials MD
Telephone Number 9014736406

NPI Number Detail

NPI Number 1043260763
Provider Enumeration Date 2006-05-11
Last Updated Date 2021-08-11

Provider Mailing Address Detail

Address 7600 Wolf River Blvd.
City Germantown
State Tennessee (TN)
Post Code 381380
Phone Number 9017471000
Fax Number 9017471001

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22687 TN GROUP TN BCBS #
9013816 MS --
107365002 AR --
3373325 TN --
508212206 MO --
86018 AR GROUP AR BCBS #

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FAQs about Mid-South Imaging & Therapeutics, P.A.

What is the unique identifier code issued to Mid-South Imaging & Therapeutics, P.A. by the Centers for Medicare & Medicaid Services?

The Mid-South Imaging & Therapeutics, P.A. has been assigned the NPI (National Provider Identifier) 1043260763. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mid-South Imaging & Therapeutics, P.A.?

The Mid-South Imaging & Therapeutics, P.A. is physically situated at 7600 Wolf River Blvd., in the city of Germantown, state of TN, with the postal code 381380.

What is the Mid-South Imaging & Therapeutics, P.A.'s area of specialization and corresponding taxonomy classification?

The Mid-South Imaging & Therapeutics, P.A.'s specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043260763 to Mid-South Imaging & Therapeutics, P.A.?

The Centers for Medicare & Medicaid Services originally issued the 1043260763 to Mid-South Imaging & Therapeutics, P.A. on 2006-05-11.

When was the information pertaining to Mid-South Imaging & Therapeutics, P.A. most recently updated or revised?

The details related to Mid-South Imaging & Therapeutics, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2021-08-11.

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