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RAD-ONE PA NPI 1487705760


NPI Information

NPI: 1487705760
Provider Name: RAD-ONE, PA

Doing Business As: DIAGNOSTIC IMAGING SPECIALISTS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7420 GUTHRIE DR N
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-4321
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RAD-ONE, PA is a diagnostic radiology radiology in Southaven, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RAD-ONE, PA NPI is 1487705760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Diagnostic Imaging Specialists.

The provider's business location address is:

7420 GUTHRIE DR N
SOUTHAVEN, MS
ZIP 38671-876
Phone: (662) 349-4321
Fax: (662) 996-1533

The provider's authorized official is Yvette M Reynolds .
The authorized official title is Medical Billing Coordinator and has the following contact phone number (716) 435-5044.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 4/20/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109015498MEDICAIDMISSISSIPPI
25F243MEDICARE PINARKANSAS
3DD5320OTHERMISSISSIPPIMS RAILROAD MEDICARE
45F243OTHERARKANSASBLUE CROSS & BLUE SHIELD
5=========OTHERMISSISSIPPIBLUE CROSS & BLUE SHIELD
6C02604MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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