SOUTHERN MEDICAL IMAGING NPI 1407008972

NPI Information

  • NPI: 1407008972
  • Provider Name: SOUTHERN MEDICAL IMAGING
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Address: 1 LINCOLN PKWY
    SUITE 105
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 579-4463

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NPI Details

SOUTHERN MEDICAL IMAGING is a magnetic resonance imaging (mri) clinic center in Hattiesburg, MS. SOUTHERN MEDICAL IMAGING NPI is 1407008972. The provider is registered as an organization entity type.

The provider's business location address is:

1 LINCOLN PKWY
SUITE 105
HATTIESBURG, MS
ZIP 39402-262
Phone: (601) 579-4463

The provider's authorized official is Shelley Gendusa .
The authorized official title is Office Manager and has the following contact phone number (601) 579-4500.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109008521MEDICAIDMISSISSIPPI
2470000041MEDICARE PIN

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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