Midsouth Radiology Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MIDSOUTH RADIOLOGY INC

Practice address

360 Old Brompton LN
Killen, AL 35645-8644

Phone

(256) 272-8344

Fax

(256) 412-9902

NPI assigned

May 31, 2006

Last updated

Jul 24, 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

Mr. Gary Elam

Title

Owner

Phone

(256) 272-8344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1730126715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 OLD BROMPTON LN",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356458644",
            "telephone_number": "256-272-8344",
            "fax_number": "256-412-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 OLD BROMPTON LN",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356458644",
            "telephone_number": "256-272-8344",
            "fax_number": "256-412-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-272-8344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Killen, AL
• Providers in Killen, AL by specialty
• Physiological Laboratory in Alabama

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