Jason H Clark & Sandra J Clark in Oxford - Portable X-ray And/or Other Portable Diagnostic Imaging Supplier
Jason H Clark & Sandra J Clark - NPI 1912185927
Jason H Clark & Sandra J Clark is a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier in Oxford, Mississippi. Jason H Clark & Sandra J Clark practices all healthcare services and medical treatments related to Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The NPI Number for Jason H Clark & Sandra J Clark is 1912185927. The last update date is 2008-12-03.
Jason H Clark & Sandra J Clark's current location address is Po Box 994, Oxford, Mississippi. You can contact this provider via phone number 6625145215 and fax number 6622340172. The mailing address for Jason H Clark & Sandra J Clark is Po Box 994, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jason H Clark & Sandra J Clark |
|---|---|
| Address | Po Box 994, Oxford, Mississippi |
| Phone Number | 6625145215 |
| Fax Number | 6622340172 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Jason |
| Telephone Number | 6625145215 |
NPI Number Detail
| NPI Number | 1912185927 |
|---|---|
| Provider Enumeration Date | 2008-02-01 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | Po Box 994 |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386550994 |
| Phone Number | 6625145215 |
| Fax Number | 6622340172 |
Provider's Primary Taxonomy Detail
| Speciality | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier |
|---|---|
| Taxonomy | 335V00000X |
| Licence No | MRT2279 |
|
Definition: 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 st |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9851011 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jason H Clark & Sandra J Clark by the Centers for Medicare & Medicaid Services?
The Jason H Clark & Sandra J Clark has been issued the NPI (National Provider Identifier) 1912185927, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason H Clark & Sandra J Clark is physically located?
The Jason H Clark & Sandra J Clark is physically situated at the following address: Po Box 994, Oxford, MS, 386550994.
What is Jason H Clark & Sandra J Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason H Clark & Sandra J Clark is Portable X-ray And/or Other Portable Diagnostic Imaging Supplier, and the taxonomy classification code that categorizes this area of expertise is 335V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912185927 to Jason H Clark & Sandra J Clark?
The Centers for Medicare & Medicaid Services assigned the 1912185927 to Jason H Clark & Sandra J Clark on 2008-02-01.
As of what date were the details related to Jason H Clark & Sandra J Clark most recently updated or revised?
The information pertaining to Jason H Clark & Sandra J Clark, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY