Organization · Type 2 NPI

Mid-South Imaging & Therapeutics, P.a.

Diagnostic Radiology Physician · Germantown, TN

NPI number 1043260763 Active

Practice location

7600 Wolf River Blvd., #200
Germantown, TN 38138

Fax (901) 747-1001

Mailing address

PO Box 5083
Memphis, TN 38101-5083

Other practice locations

  • 555 Perkins Ext Ste 100&200, Memphis, TN 38117-4410 · (901) 747-1000
  • 55 Physicians Ln, Southaven, MS 38671-9569 · (901) 747-1007
  • 6286 Briarcrest Ave Ste 300, Memphis, TN 38120-4023 · (901) 747-1007

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043260763

Mid-South Imaging & Therapeutics, P.a.'s National Provider Identifier is 1043260763, issued on May 11, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Germantown, TN. The record was last updated on Oct 17, 2026.