NPIMap

Organization Active NPI

Jackson Imaging

  • Computed Tomography Radiologic Technologist
  • Flowood, MS
National Provider Identifier
1144370776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
Legal business name
JACKSON IMAGING
Practice address
1045 N Flowood Dr
Flowood, MS 39232-9533
Phone
(601) 936-0302
Fax
(601) 936-3416
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lynne R Amacker
Title
Manager
Phone
(601) 936-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic Technologist 2471C3401X NU Primary

Addresses

Primary practice location

1045 N Flowood Dr
Flowood, MS 39232-9533

Mailing address

1045 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 936-0302

National Provider Directory

National Provider Directory

Locations

1045 N Flowood Dr
Jackson, MS 39232
Phone (601) 936-0302

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144370776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-936-0302",
            "fax_number": "601-936-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-936-0302",
            "fax_number": "601-936-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMACKER",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-936-0302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.