Mia M Luke, R MR

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

409616 Issued in GA

Practice address

1401 Tift Ave N
Ste E
Tifton, GA 31794-3585

Phone

(229) 387-6799

Fax

(229) 387-6791

NPI assigned

Oct 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Open MRI of Tifton LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tifton, GA
  • NPI 1679542526
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1497182455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TIFT AVE N",
            "address_2": "STE E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943585",
            "telephone_number": "229-387-6799",
            "fax_number": "229-387-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 TIFT AVE N",
            "address_2": "STE E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943585",
            "telephone_number": "229-387-6799",
            "fax_number": "229-387-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "MIA",
        "middle_name": "M",
        "credential": "R MR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "GA",
            "license": "409616",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "GA",
            "license": "409616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad E Lindsey, MD
• Tyundreya Lindsey, LMFT
• Lora Fulp Efaw MD PC
• Erinn Michelle Lucas, M. ED., CCC-SLP
• Jennifer Luke, FNP
• Timothy J Luke, FNP-C
• Luminus Diagnostics, LLC
• Deloris Lunsford, L.P.N
• Jessica Marie Lyons, R.N.,F.N.P.-C
• James Arthur Macdonald, M.D.

• Magnetic Resonance Imaging Radiologic Technologist in Tifton, GA
• Providers in Tifton, GA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.