Pioneer Medical Portable XRAY, LLC

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1619204203

Pioneer Medical Portable XRAY, LLC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Petal, Mississippi. Registered with an NPI since 2009.

In the registry since: 2009

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Clarendon Ave
Petal, MS 39465-2636
Phone: (601) 550-4611
Fax: (601) 510-9449

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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

Record details

NPI number	1619204203
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Pioneer Medical, Idtf
Authorized official	Ted Crabtree — Owner · (601) 550-4611
NPI enumerated	November 3, 2009
Last updated in NPPES	November 10, 2009
Mailing address	100 Clarendon Ave, Petal, MS 39465-2636