Organization Name: | JASON H CLARK & SANDRA J CLARK |
NPI Number: | 1912185927 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON CLARK (OWNER) |
Mailing Address: | 139 County Road 379 Water Valley |
State: | MS US |
Postal Code: | 389653607 |
Phone Number: | 6625145215 |
Fax Number: | 6622340172 |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 335V00000X |
License Number: | MRT2279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Portable X-Ray Supplier |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of diagnostic x-ray services furnished in a place or residence used as the patient's home or, in certain circumstances, in an institution, where the institution cannot bill for the services. Portable x-ray services include: skeletal films involving arms and legs, pelvis, vertebral column, and skull; chest films which do not involve the use of contrast media (except routine screening procedures and tests in connection with routine physical examinations); and abdominal films which do not involve the use of contrast media. Procedures and examinations which are excluded from portable x-ray services include the following: procedures involving fluoroscopy; procedures involving the use of contrast media; procedures requiring the administration of a substance to the patient or injection of a substance into the patient and/or special manipulation of the patient; procedures which require special medical skill or knowledge possessed by a doctor of medicine or doctor of osteopathy or which require that medical judgment be exercised; procedures requiring special technical competency and/or special equipment or materials; routine screening procedures; and procedures which are not of a diagnostic nature. |