# MISSISSIPPI COASTAL MRI LLC

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

## Provider details

- **NPI number:** 1720487820
- **Authorized official:** DR. ROSS W BARNETT MD (MBR)
- **Authorized official phone:** (334) 271-6736

## Contact information

- **Practice address:** 2900 MELTON AVE, PASCAGOULA, MS 39581-4120
- **Practice address phone:** (228) 696-9946
- **Practice address fax:** (228) 696-9117
- **Mailing address:** PO BOX 2207, LAKE CHARLES, LA 70602-2207
- **Mailing address phone:** (334) 271-6736

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 11/13/2014