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IMAGING CENTER OF MERIDIAN LLC NPI 1710935929


NPI Information

NPI: 1710935929
Provider Name: IMAGING CENTER OF MERIDIAN LLC

Former Legal Business Name: ORTHOPAEDIC IMAGING ASSOCIATES LLC

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
2021 24TH AVE
SUITE B
MERIDIAN, MS
ZIP 39301
Phone: (601) 483-4339
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IMAGING CENTER OF MERIDIAN LLC is a physiological laboratory in Meridian, MS. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. IMAGING CENTER OF MERIDIAN LLC NPI is 1710935929. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Orthopaedic Imaging Associates Llc.

The provider's business location address is:

2021 24TH AVE
SUITE B
MERIDIAN, MS
ZIP 39301-121
Phone: (601) 483-4339
Fax: (601) 483-4516

The provider's authorized official is Patrick G Howard .
The authorized official title is Managing Member and has the following contact phone number (337) 291-9161.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 2/13/2015.


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
1293D00000XPhysiological LaboratoryYes

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
1470000054MEDICARE ID-TYPE UNSPECIFIED
2=========OTHERUNITED HEALTHCARE
3Y18550MEDICARE UPIN
4220258300OTHERUS DEPT OF LABOR W/C
5=========OTHERBLUE CROSS OF MS
6=========OTHERTRICARE
702609273MEDICAIDMISSISSIPPI

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: 11/14/2023

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