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Contact Information

DESOTO DIAGNOSTIC IMAGING, LLC
9085 SANDIDGE CENTER COVE
SUITE 100
OLIVE BRANCH, MS38654-3575
 Phone: 662-536-1000
 Fax: 662-893-8824
 Website:
Indicates primary specialty

NPI Profile & details for DESOTO DIAGNOSTIC IMAGING LLC · (Female)

NPI Number 1083777882
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2006
Last updated 11/30/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 00973276
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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