OPEN MRI JACKSON RADIOLOGY PLLC NPI 1154874600

NPI Information

  • NPI: 1154874600
  • Provider Name: OPEN MRI JACKSON RADIOLOGY PLLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: OPEN MRI OF JACKSON
  • CLIA Number: 25D2126460
  • Address: 120 STONE CREEK BLVD
    SUITE 900
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 936-6500

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NPI Details

OPEN MRI JACKSON RADIOLOGY PLLC is a diagnostic radiology radiology in Flowood, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OPEN MRI JACKSON RADIOLOGY PLLC NPI is 1154874600. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Open Mri Of Jackson.

The provider's business location address is:

120 STONE CREEK BLVD
SUITE 900
FLOWOOD, MS
ZIP 39232-205
Phone: (601) 936-6500
Fax: (601) 936-2027

The provider's authorized official is Ross Barnett .
The authorized official title is Owner and has the following contact phone number (601) 936-6500.

The CLIA number assigned to this NPI record is 25D2126460 - other - free standing mri clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2016 and was last updated on 8/2/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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