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Organization
WAVE DIAGNOSTICS LLC
Active
Organization
WAVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FRAZIER (OWNER)
(662) 570-1819
Entity
Organization
Contact information
Practice address
445 WILKINS WISE RD, COLUMBUS, MS 39705-1756
(662) 312-8042
Mailing address
445 WILKINS WISE RD, COLUMBUS, MS 39705-1756
(662) 312-8042
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
02/20/2025
Last updated
12/09/2025
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