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Jason H Clark & Sandra J Clark

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Water Valley, MS · enumerated 2008 · authorized official Jason Clark, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912185927

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Registry record

Entity type Organization (Type 2)
Legal business name Jason H Clark & Sandra J Clark
Practice address 139 County Road 379, Water Valley, MS, 38965
Phone (662) 514-5215
Fax (662) 234-0172
Enumeration date Feb 1, 2008
Last updated in NPPES Dec 3, 2008

Taxonomy & classification

335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers · License MRT2279 (MS) Primary

Authorized official

Name Jason Clark
Title Owner
Phone (662) 514-5215

Other identifiers

Identifier Type State Issuer
09851011 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jason H Clark & Sandra J Clark?
NPPES lists Jason Clark (Owner) as the authorized official for this organization.
What is the NPI number for Jason H Clark & Sandra J Clark?
The NPI for Jason H Clark & Sandra J Clark is 1912185927, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-03.