Pioneer Medical, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PIONEER MEDICAL, LLC

Practice address

100 Clarendon Ave
Petal, MS 39465-2636

Phone

(866) 951-9727

NPI assigned

Dec 14, 2008

Last updated

Dec 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad H Massey

Title

Owner

Phone

(800) 951-9729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229212800000",
    "number": "1356586762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394650512",
            "telephone_number": "800-951-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLARENDON AVE",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652636",
            "telephone_number": "866-951-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-951-9729"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petal Upper Elementary School
• Petal Urgent Care LLC
• Pine Belt Dermatology and Skin Cancer Center
• Pine Belt Dermatopathology Lab, PA
• Pioneer Medical Portable Xray,LLC
• Hope V Pittman, FNP
• Anna Christine Powell, ATC, LAT, CSCS
• Katherine Reid Pratt, DPT
• Kalyn M Preiss, DPT
• Hannah Long Price, PA-C

• Mobile Radiology Clinic/Center in Petal, MS
• Providers in Petal, MS by specialty
• Mobile Radiology Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; 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.