NPIMap

Organization Active NPI

Precision Ultrasound Imaging Inc.

  • Physiological Laboratory
  • Flowood, MS
National Provider Identifier
1902865413
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
PRECISION ULTRASOUND IMAGING INC.
Practice address
105B Katherine Drive
Flowood, MS 39232
Phone
(601) 573-0577
Fax
(601) 939-6775
NPI assigned
Mar 22, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mrs. Melissa B Kelley, RT RDMS RVT
Title
President
Phone
(601) 573-0577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary
Sonography Radiologic Technologist 2471S1302X MS
Vascular Sonography Radiologic Technologist 2471V0105X MS

Addresses

Primary practice location

105B Katherine Drive
Flowood, MS 39232

Mailing address

105B Katherine Drive
Flowood, MS 39232
Phone (601) 573-0577

Other identifiers 2

IdentifierTypeStateIssuer
00119207MedicaidMS
000119207MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000855 MS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4183685977 Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Locations

105B Katherine Dr
Flowood, MS 39232
Phone (601) 503-5775

730 Ridgewood Rd
Ste B
Ridgeland, MS 39157
Phone (601) 573-0577

Practitioners & affiliated clinicians

Practitioners 9

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1902865413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105B KATHERINE DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-573-0577",
            "fax_number": "601-939-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B KATHERINE DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-573-0577",
            "fax_number": "601-939-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ULTRASOUND IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-573-0577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT RDMS RVT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119207",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000119207",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.