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Pioneer Medical Portable Xray,llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Petal, Mississippi
NPI 1619204203

Pioneer Medical Portable Xray,llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Petal, MS. Pioneer Medical Portable Xray,llc practices in Petal, MS. The NPI Number for Pioneer Medical Portable Xray,llc is 1619204203 and holds a License No. (Mississippi).

The current practice location address for Pioneer Medical Portable Xray,llc is 100 Clarendon Ave, Petal, MS and can be reached out via phone at 601-550-4611 and via fax at 601-510-9449.

Location: 100 Clarendon Ave, Petal, MS, 39465-2636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619204203
Provider Name
Pioneer Medical Portable Xray,llc
Credential
Provider Entity Type
Organization
Address
100 Clarendon Ave, Petal, MS, 39465-2636
Phone Number
601-550-4611
Fax Number
601-510-9449
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Clarendon Ave
City
Petal
State
Mississippi
Zip
39465-2636
Phone Number
601-550-4611
Fax Number
601-510-9449
person
Provider Business Mailing Address Details
Address
100 Clarendon Ave
City
Petal
State
Mississippi
Zip
39465-2636
Phone Number
601-550-4611
Fax Number
601-510-9449
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
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 state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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