Provider Demographics
NPI:1184779928
Name:HARDT, JACKIE L (RDMS)
Entity type:Individual
Prefix:MRS
First Name:JACKIE
Middle Name:L
Last Name:HARDT
Suffix:
Gender:F
Credentials:RDMS
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Mailing Address - Street 1:6908 WESTSIDE SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9377
Mailing Address - Country:US
Mailing Address - Phone:989-686-2572
Mailing Address - Fax:989-686-2613
Practice Address - Street 1:800 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-2551
Practice Address - Country:US
Practice Address - Phone:989-907-8000
Practice Address - Fax:989-907-7773
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography