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Mobile Heart Station Inc
Sonography Radiologic Technologist in Picayune, Mississippi
NPI 1356428569

Mobile Heart Station Inc is a Sonography Radiologic Technologist based in Picayune, MS and is specialized in Sonography. Mobile Heart Station Inc practices in Picayune, MS. The NPI Number for Mobile Heart Station Inc is 1356428569 and holds a License No. ARDMS11532 (Mississippi).

The current practice location address for Mobile Heart Station Inc is 196 Timberlane Road, Picayune, MS and can be reached out via phone at 601-799-5169 and via fax at 601-799-3998.

Location: 196 Timberlane Road, Picayune, MS, 39466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356428569
Provider Name
Mobile Heart Station Inc
Credential
Provider Entity Type
Organization
Address
196 Timberlane Road, Picayune, MS, 39466
Phone Number
601-799-5169
Fax Number
601-799-3998
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
470000422 01 MS MEDICARE RAILROAD
00117333 05 MS
5CB82 01 LA MEDICARE OF LA
institution
Provider Business Practice Location Address Details
Address
196 Timberlane Road
City
Picayune
State
Mississippi
Zip
39466
Phone Number
601-799-5169
Fax Number
601-799-3998
person
Provider Business Mailing Address Details
Address
196 Timberlane Road
City
Picayune
State
Mississippi
Zip
39466
Phone Number
601-799-5169
Fax Number
601-799-3998
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Vascular Specialist
Taxonomy
246XC2903X
License No.
ARDMS ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Sonography
Taxonomy
246XS1301X
License No.
ARDMS11532 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
2471S1302X
License No.
ARDMS11532 ()
Definition
Definition to come...
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