Provider Demographics
NPI:1992084172
Name:ACCURATE MEDICAL DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:ACCURATE MEDICAL DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BURWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-664-6677
Mailing Address - Street 1:PO BOX 13097
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39236-3097
Mailing Address - Country:US
Mailing Address - Phone:601-664-6677
Mailing Address - Fax:601-510-9417
Practice Address - Street 1:660 KATHERINE DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39232-8847
Practice Address - Country:US
Practice Address - Phone:601-664-6677
Practice Address - Fax:601-510-9417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier