Provider Demographics
NPI:1376684407
Name:SPRAGLING, CARLOS (RT,RDMS)
Entity type:Individual
Prefix:MS
First Name:CARLOS
Middle Name:
Last Name:SPRAGLING
Suffix:
Gender:M
Credentials:RT,RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4299 ELVIS PRESLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6435
Mailing Address - Country:US
Mailing Address - Phone:901-396-6333
Mailing Address - Fax:901-396-1222
Practice Address - Street 1:4299 ELVIS PRESLEY BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6435
Practice Address - Country:US
Practice Address - Phone:901-396-6333
Practice Address - Fax:901-396-1222
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1192442471C3402X
TN63502471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography