A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) | |
Specialist |
174400000X |
| NPI # | 1043260763 |
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| LBN Legal business name | MID-SOUTH IMAGING & THERAPEUTICS, P.A. | ||||||||||||||||||||||||
| Authorized official | JOHN ELLZEY - (PRESIDENT) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 05/11/2006 | ||||||||||||||||||||||||
| Last updated | 10/16/2024 - More than a year ago | ||||||||||||||||||||||||
| Identifiers |
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