Organization Active NPI

Parker Imaging, LLC

  • Mobile Radiology Clinic/Center
  • Rienzi, MS
National Provider Identifier
1497820088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
MRT1561 Issued in MS
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, 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
Amy Nicole Parker, RDMS, RVT, RDCSNPI 1659465201
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09039548MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.