Active NPI
Precious Images Ultrasound, LLC
- Sonography Radiologic Technologist
- Flowood, MS
National Provider Identifier
1982842845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- PRECIOUS IMAGES ULTRASOUND, LLC
- Practice address
- 1006 Top Street
Suite H
Flowood, MS 39232-7643 - Phone
- (601) 869-0866
- Fax
- (601) 869-0877
- NPI assigned
- Jan 30, 2009
- Organization subpart
- Yes
- Parent organization
- PRECIOUS IMAGES ULTRASOUND, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adolphina Goodwin
- Title
- Owner/Sonographer
- Phone
- (601) 869-0866
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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | Primary |
Addresses
Primary practice location
1006 Top Street
Suite H
Flowood, MS 39232-7643
Mailing address
1006 Top St
Suite H
Flowood, MS 39232-7642
Phone (601) 869-0866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00978841 | Medicaid | MS |
Other names 1
- SBT Diagnostic Centers
National Provider Directory
National Provider Directory- Part of
- Precious Images Ultrasound LLC
Locations
9121 159th St
Ste H
Orland Hills, IL 60487
Phone (708) 403-2266
1006 Top St
Ste H
Flowood, MS 39232
Phone (601) 398-1489
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1982842845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 TOP ST",
"address_2": "SUITE H",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327642",
"telephone_number": "601-869-0866",
"fax_number": "601-869-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 TOP STREET",
"address_2": "SUITE H",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327643",
"telephone_number": "601-869-0866",
"fax_number": "601-869-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS IMAGES ULTRASOUND, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECIOUS IMAGES ULTRASOUND, LLC",
"enumeration_date": "2009-01-30",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "ADOLPHINA",
"authorized_official_title_or_position": "OWNER/SONOGRAPHER",
"authorized_official_telephone_number": "601-869-0866"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00978841",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SBT Diagnostic Centers",
"code": "5",
"type": "Other Name"
}
]
}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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.