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Organization
CENTRAL MS IMAGING LLC DBA SOUTHERN DIAGNOSTIC IMAGING
Active
Organization
CENTRAL MS IMAGING LLC DBA SOUTHERN DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE STUART (CREDENTIALING REPRESENTATIVE 2)
(601) 200-4880
Entity
Organization
Contact information
Practice address
1037 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 936-0302
Mailing address
1037 N FLOWOOD DR, FLOWOOD, MS 39232-9533
(601) 936-0302
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
02/27/2023
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