Active NPI
Parker Imaging, LLC
- Mobile Radiology Clinic/Center
- Rienzi, MS
National Provider Identifier
1497820088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- MRT1561
- Legal business name
- PARKER IMAGING, LLC
- Practice address
- 64 Main Street
Rienzi, MS 38865-9702 - Phone
- (662) 462-5919
- NPI assigned
- Nov 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Nicole Parker, RDMS, RVT, RDCS
- Title
- Owner
- Phone
- (662) 462-5919
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | MRT1561 | MS | Primary |
Addresses
Primary practice location
64 Main Street
Rienzi, MS 38865-9702
Mailing address
PO Box 2
Rienzi, MS 38865-0002
Phone (662) 462-5919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09039548 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2000 E Shiloh Rd
Corinth, MS 38834
Phone (662) 287-6999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiologic Technologist
- Rienzi, MS
- NPI 1659465201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497820088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "RIENZI",
"state": "MS",
"postal_code": "388650002",
"telephone_number": "662-462-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN STREET",
"city": "RIENZI",
"state": "MS",
"postal_code": "388659702",
"telephone_number": "662-462-5919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-462-5919",
"authorized_official_credential": "RDMS, RVT, RDCS"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "MS",
"license": "MRT1561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09039548",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rienzi, 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.