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RIDGELAND DIAGNOSTIC CENTER NPI 1528179611


NPI Information

NPI: 1528179611
Provider Name: RIDGELAND DIAGNOSTIC CENTER
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
730 RIDGEWOOD RD STE C
RIDGELAND, MS
ZIP 39157
Phone: (601) 206-5605
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RIDGELAND DIAGNOSTIC CENTER is a radiology clinic center in Ridgeland, MS. RIDGELAND DIAGNOSTIC CENTER NPI is 1528179611. The provider is registered as an organization entity type.

The provider's business location address is:

730 RIDGEWOOD RD STE C
RIDGELAND, MS
ZIP 39157-426
Phone: (601) 206-5605
Fax: (601) 206-5606

The provider's authorized official is Mohammad Saleh .
The authorized official title is Ceo and has the following contact phone number (601) 206-5605.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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/CenterRadiologyYes

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
109529704MEDICAIDMISSISSIPPI

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.