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Contact Information

SOUTH CENTRAL REGIONAL OPEN MRI, LLC
227 S 13TH AVE
LAUREL, MS39440-4225
 Phone: 601-428-5026
 Fax: 601-428-0418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL REGIONAL OPEN MRI, LLC

NPI Number 1528096112
LBN Legal business name SOUTH CENTRAL REGIONAL OPEN MRI, LLC
Authorized official PATRICK HOWARD - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2006
Last updated 09/23/2024 - More than a year ago
Identifiers
MS Medicaid 01230725
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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