SANDRA CLARK RT(R)
NPI 1578692463
Radiologic Technologist - Radiography in Water Valley, MS

Q: What is Sandra Clark's NPI number?

The NPI number for Sandra Clark is 1578692463. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Jason Clark Rt.

Q: What is Sandra Clark's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2007

139 COUNTY ROAD 379, WATER VALLEY, MS 38965(662) 514-5215 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sandra Clark Rt(r) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA CLARK RT(R) (NPI 1578692463) is an individual radiography provider in Water Valley, Mississippi, licensed in Mississippi (MRT2279) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1578692463

Entity TypeIndividualFemale

Primary Taxonomy2471C3402X

Provider Legal NameSANDRA CLARKCredential: RT(R)

Location Address139 COUNTY ROAD 379Water Valley, MS 38965-3607

Mailing Address139 County Road 379Water Valley, MS 38965-3607 · (662) 514-5215

Phone(662) 514-5215

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1578692463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code2471C3402X

License✔ Licensed in MS · MRT2279

Definition

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

139 COUNTY ROAD 379, Water Valley, MS 38965

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Other Names 1

Other Name (5)Jason Clark Rt

Other Identifiers 1

Medicaid09851011MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON H CLARK & SANDRA J CLARK

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

139 COUNTY ROAD 379
WATER VALLEY, MS 38965

Yalobusha County (662) 514-5215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Clark's NPI number?

The NPI number for Sandra Clark is 1578692463. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Jason Clark Rt.

Where is Sandra Clark located?

Sandra Clark practices at 139 County Road 379, Water Valley, MS 38965. The listed phone number is (662) 514-5215.

What is Sandra Clark's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

When was this NPI record last updated?

The NPPES record for Sandra Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.