Whalio Doctors

NPI 1356586762

Pioneer Medical, LLC

Organisation Mobile Radiology Clinic/Center Petal, MS

Practice location

Address
100 Clarendon Ave, Petal, MS 39465-2636
Phone
(866) 951-9727
Mailing address
PO Box 512, Petal, MS 39465-0512

Authorised official

Name
Brad H Massey
Title
Owner
Phone
(800) 951-9729

Registered specialties

Mobile Radiology Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QR0208X

Registry record

NPI
1356586762
Entity type
Organization
NPI issued
14 Dec 2008
Record last updated
14 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.