Southern Pro Read, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

SOUTHERN PRO READ, LLC

Practice address

14231 Seaway Rd Ste F9
Gulfport, MS 39503-4648

Phone

(228) 860-8827

Fax

(228) 207-2201

NPI assigned

Feb 16, 2015

Last updated

Oct 24, 2022By 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

Ron Williams

Title

Owner

Phone

(228) 860-8827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1437540275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-860-8827",
            "fax_number": "228-207-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE F9",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034648",
            "telephone_number": "228-860-8827",
            "fax_number": "228-207-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PRO READ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-860-8827"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Electroneurodiagnostic Specialist/Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.