25D2013400 CLIA NUMBER - MEDICAL IMAGING AT BARNES CROSSING

Laboratory Demographics

  • CLIA Code: 25D2013400
  • Facility Name: MEDICAL IMAGING AT BARNES CROSSING
  • Facility Address: 891 MISSISSIPPI DRIVE
    TUPELO, MS
    ZIP 38804
  • Facility Phone: 662 377-6800
  • Facility Type: Other - OUTPATIENT RADIOLOGY CLIN
  • Facility Type: Waiver
  • Lab Director: ROBERT C. BECKER
  • NPI Number: 1316075864
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 25D2013400
LAB Type Other - OUTPATIENT RADIOLOGY CLIN
Facility Name MEDICAL IMAGING AT BARNES CROSSING
Street 891 MISSISSIPPI DRIVE
City TUPELO
State MS
ZIP 38804
Phone 662 377-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - OUTPATIENT RADIOLOGY CLIN
Lab Director ROBERT C. BECKER

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This page was last updated on: 9/29/2025