DIAGNOSTIC RADIOLOGY ASSOCIATES PA NPI 1407860315

NPI Information

NPI: 1407860315
Provider Name: DIAGNOSTIC RADIOLOGY ASSOCIATES, PA
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
1050 N FLOWOOD DR
SUITE A-4
FLOWOOD, MS
ZIP 39232
Phone: (601) 936-0494
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DIAGNOSTIC RADIOLOGY ASSOCIATES, PA is a body imaging radiology in Flowood, MS. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DIAGNOSTIC RADIOLOGY ASSOCIATES, PA NPI is 1407860315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 N FLOWOOD DR
SUITE A-4
FLOWOOD, MS
ZIP 39232-738
Phone: (601) 936-0494

The provider's authorized official is Jeffrey Scott Fortson .
The authorized official title is Operations Manager and has the following contact phone number (770) 590-3848.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/26/2014.

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
1	2085B0100X	Radiology	Body Imaging		MISSISSIPPI	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
1	CL2516	OTHER	MISSISSIPPI	RR MEDICARE
2	C00153	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	MEDICARE GROUP ID
3	09011383	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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