25D2126460 CLIA NUMBER - OPEN MRI JACKSON RADIOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 25D2126460
  • Facility Name: OPEN MRI JACKSON RADIOLOGY PLLC
  • Facility Address: 120 STONE CREEK BLVD, STE 900
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 936-6500
  • Facility Type: Other - FREE STANDING MRI CLINIC
  • Facility Type: Waiver
  • Lab Director: ROSS BARNETT
  • NPI Number: 1154874600
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 25D2126460
LAB Type Other - FREE STANDING MRI CLINIC
Facility Name OPEN MRI JACKSON RADIOLOGY PLLC
Street 120 STONE CREEK BLVD, STE 900
City FLOWOOD
State MS
ZIP 39232
Phone 601 936-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - FREE STANDING MRI CLINIC
Lab Director ROSS BARNETT

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