JASON H CLARK & SANDRA J CLARK NPI 1912185927

NPI Details

JASON H CLARK & SANDRA J CLARK is a portable x ray and or other portable diagnostic imaging supplier in Water Valley, MS. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. JASON H CLARK & SANDRA J CLARK NPI is 1912185927. The provider is registered as an organization entity type.

The provider's business location address is:

139 COUNTY ROAD 379
WATER VALLEY, MS
ZIP 38965-607
Phone: (662) 514-5215
Fax: (662) 234-0172

The provider's authorized official is Jason Clark .
The authorized official title is Owner and has the following contact phone number (662) 514-5215.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Set-up portable x-ray equipment (HCPCS:Q0092)
• Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
• X-ray of chest, 1 view (HCPCS:71045)
• Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen (HCPCS:R0075)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of upper arm, minimum of 2 views (HCPCS:73060)

The enumeration date for this NPI number is 2/1/2008 and was last updated on 12/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.