MISS-LOU CT CENTER, LLC; NPI #1902004997

Contact Information

MISS-LOU CT CENTER, LLC

140 JEFF DAVIS BLVD
SUITE B
NATCHEZ, MS 39120-5104

Phone: 601-304-9718
Fax: 601-304-9637
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for MISS-LOU CT CENTER, LLC

NPI # 1902004997

LBN Legal business name MISS-LOU CT CENTER, LLC

Authorized official VIKRAMADITYA DULAM - (MEMBER/MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2007

Last updated 07/17/2007 - About 19 years ago

Identifiers

License #

012022

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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