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Organization
TENET GULF COAST IMAGING
Active
Organization
TENET GULF COAST IMAGING
Active
Other names
Cedar lake Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (VSVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
975A CEDAR LAKE RD, SUITE 150, BILOXI, MS 39532-2128
(228) 395-1601
Mailing address
PO BOX 676764, DALLAS, TX 75267-6764
(228) 396-1601
(228) 392-9620
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/18/2006
Last updated
06/08/2016
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