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CENTRAL MS DIAGNOSTICS LLC NPI 1255427464


NPI Information

NPI: 1255427464
Provider Name: CENTRAL MS DIAGNOSTICS, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2630 COURTHOUSE CIR
FLOWOOD, MS
ZIP 39232
Phone: (601) 487-8274
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CENTRAL MS DIAGNOSTICS, LLC is a radiology clinic center in Flowood, MS. CENTRAL MS DIAGNOSTICS, LLC NPI is 1255427464. The provider is registered as an organization entity type.

The provider's business location address is:

2630 COURTHOUSE CIR
FLOWOOD, MS
ZIP 39232-562
Phone: (601) 487-8274
Fax: (601) 487-8701

The provider's authorized official is John P Stagg .
The authorized official title is Ceo and has the following contact phone number (225) 952-9141.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 12/15/2023.


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
1261QR0200XClinic/CenterRadiologyMISSISSIPPIYes

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
100125434MEDICAIDMISSISSIPPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.