Provider Demographics
NPI:1568517803
Name:EMERALD IMAGING INC
Entity Type:Organization
Organization Name:EMERALD IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:TASHAWN
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-458-5383
Mailing Address - Street 1:2552 POPLAR AVE
Mailing Address - Street 2:STE 406
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3852
Mailing Address - Country:US
Mailing Address - Phone:901-458-5383
Mailing Address - Fax:
Practice Address - Street 1:2552 POPLAR AVE
Practice Address - Street 2:STE 406
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3852
Practice Address - Country:US
Practice Address - Phone:901-458-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty