Provider Demographics
NPI:1083945844
Name:SCAN THIS, LLC
Entity Type:Organization
Organization Name:SCAN THIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:R. MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-236-5450
Mailing Address - Street 1:PO BOX 1233
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-1233
Mailing Address - Country:US
Mailing Address - Phone:662-236-5450
Mailing Address - Fax:662-513-0960
Practice Address - Street 1:1210 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-3606
Practice Address - Country:US
Practice Address - Phone:662-236-5450
Practice Address - Fax:662-513-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)