National Provider Identifier Database

MADISON IMAGING LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MADISON IMAGING LLC
106 HIGHLAND WAY
SUITE 100
MADISON, MS39110
Phone: 601-200-6162
Fax: 817-317-7033
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MADISON IMAGING LLC

NPI Number 1497869507
Legal business name
LBN
MADISON IMAGING LLC
Authorized official BENTON PARKER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/18/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Other: C03571 MEDICARE IDENTIFICATION

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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