DBA MADISON MEDICAL IMAGING – NPI #1497869507
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DBA MADISON MEDICAL IMAGING is a radiologist located in MADISON, MS. NPPES has assigned the NPI number 1497869507 to DBA MADISON MEDICAL IMAGING on August 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA MADISON MEDICAL IMAGING” is a dba name, the actual legal business name for this organization is MADISON IMAGING LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA MADISON MEDICAL IMAGING below.

NPI Profile for
MADISON IMAGING LLC

NPI Number
1497869507
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MADISON IMAGING LLC
Doing Business As (dba): DBA MADISON MEDICAL IMAGING
Primary location
106 HIGHLAND WAY
SUITE 100
MADISON, MS 39110
Phone: (601) 200-6162 Fax: (817) 317-7033
Mailing address
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone: (817) 321-0312 Fax: (817) 317-7033
Organization Subpart
No
Authorized Official
BENTON PARKER
PRESIDENT
Phone: (601) 200-6162
Updated
Identifiers

Identifiers for DBA MADISON MEDICAL IMAGING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE IDENTIFICATIONMSC03571
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.