# TENET GULF COAST IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar lake Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811932577
- **Authorized official:** MR. MICHAEL KYLE BURTNETT (VSVP OF OUTPATIENT SERVICES, TENET)
- **Authorized official phone:** (469) 893-2153

## Contact information

- **Practice address:** 975A CEDAR LAKE RD, SUITE 150, BILOXI, MS 39532-2128
- **Practice address phone:** (228) 395-1601
- **Mailing address:** PO BOX 676764, DALLAS, TX 75267-6764
- **Mailing address phone:** (228) 396-1601
- **Mailing address fax:** (228) 392-9620

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 06/08/2016