# SOUTHERN MEDICAL IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407008972
- **Authorized official:** SHELLEY GENDUSA (OFFICE MANAGER)
- **Authorized official phone:** (601) 579-4500

## Contact information

- **Practice address:** 1 LINCOLN PKWY, SUITE 105, HATTIESBURG, MS 39402-3262
- **Practice address phone:** (601) 579-4463
- **Mailing address:** 1 LINCOLN PKWY, SUITE 105, HATTIESBURG, MS 39402-3262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/16/2008