Jason H Clark & Sandra J Clark
Jason H Clark & Sandra J Clark is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Water Valley, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.
- Licensed in
- MS
- In the registry since
- 2008
Practice location Address checks out
139 County Road 379Water Valley, MS 38965-3607
Phone: (662) 514-5215
Fax: (662) 234-0172
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) | Taxonomy 335V00000X · Licence MRT2279 (MS) |
|---|
Record details
| NPI number | 1912185927 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Clark — Owner · (662) 514-5215 |
| NPI enumerated | February 1, 2008 |
| Last updated in NPPES | December 3, 2008 |
| Mailing address | Po Box 994, Oxford, MS 38655-0994 |