PRECIOUS IMAGES ULTRASOUND, LLC (NPI# 1982842845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982842845 |
Entity Type | Organization |
Organization Name | PRECIOUS IMAGES ULTRASOUND, LLC |
Other Organization Name | SBT DIAGNOSTIC CENTERS |
Practice Address |
1006 Top Street Suite H Flowood MS 39232-7643 |
Mailing Address |
1006 Top St Suite H Flowood MS 39232-7642 |
Practice Telephone | 6018690866 |
Practice Fax Number | 6018690877 |
Mailing Telephone | 6018690866 |
Mailing Fax Number | 6018690877 |
Enumeration Date | 2009-01-30 |
Last Update Date | 2017-01-11 |
Authorized Official Name | ADOLPHINA GOODWIN (OWNER/SONOGRAPHER) |
Authorized Official Telephone | 6018690866 |
Is Organization Subpart | Y |
Parent Organization Name | PRECIOUS IMAGES ULTRASOUND, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00978841 | 05 |
Other Name | Type Code |
---|---|
SBT Diagnostic Centers | Other Name - Individual/Organization |
Street Address |
1006 TOP STREET SUITE H |
City | FLOWOOD |
State | MS |
Zip Code | 39232-7643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114230638 | James Hullon Crawford | Radiologic Technologist | 2505 Warriors Trl, #5, Vicksburg, MS 39180-7207 | 2010-07-26 |
1073560983 | Med Imaging, Inc | Radiologic Technologist | 1700 Walker Ln, Suite 5, Greenville, MS 38701-7360 | 2006-05-27 |
Please comment or provide details below to improve the information on PRECIOUS IMAGES ULTRASOUND, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.