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OXFORD PRE OP & IMAGING CENTER LLC NPI 1750646436


NPI Information

NPI: 1750646436
Provider Name: OXFORD PRE OP & IMAGING CENTER LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 25D2049358

Address:
1202 OFFICE PARK DR
SUITE B
OXFORD, MS
ZIP 38655
Phone: (662) 234-5545
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OXFORD PRE OP & IMAGING CENTER LLC is a radiology clinic center in Oxford, MS. OXFORD PRE OP & IMAGING CENTER LLC NPI is 1750646436. The provider is registered as an organization entity type.

The provider's business location address is:

1202 OFFICE PARK DR
SUITE B
OXFORD, MS
ZIP 38655-267
Phone: (662) 234-5545
Fax: (662) 234-5589

The provider's authorized official is Richard Walker Byars .
The authorized official title is Secretary and has the following contact phone number (662) 234-4744.

The CLIA number assigned to this NPI record is 25D2049358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 2/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceNo
2291U00000XClinical Medical Laboratory25D2049358MISSISSIPPINo
3261QR0200XClinic/CenterRadiology36-2-026MISSISSIPPIYes

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
102005001MEDICAIDMISSISSIPPI
2265886OTHERMEDICARE PTAN

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

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