25D2300383 CLIA NUMBER - OMJ MRI RADIOLOGY, PLLC

Laboratory Demographics

CLIA Number: 25D2300383

Facility Name: OMJ MRI RADIOLOGY, PLLC

Facility Address:
120 STONE CREEK, SUITE 900-B
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 936-6500

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1588420657

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	25D2300383
LAB Type	Independent
Facility Name	OMJ MRI RADIOLOGY, PLLC
Street	120 STONE CREEK, SUITE 900-B
City	FLOWOOD
State	MS
ZIP	39232
Phone	601 936-6500
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024