Provider Demographics
NPI:1841548211
Name:SUPERIOR MRI SERVICES, INC.
Entity type:Organization
Organization Name:SUPERIOR MRI SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:601-720-1944
Mailing Address - Street 1:PO BOX 1592
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-4092
Mailing Address - Country:US
Mailing Address - Phone:601-720-1944
Mailing Address - Fax:662-563-2242
Practice Address - Street 1:123 VAN VORIS ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-2198
Practice Address - Country:US
Practice Address - Phone:601-720-1944
Practice Address - Fax:662-563-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)