Organization
IMAGING CENTER OF COLUMBUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G. HOWARD (MANAGING MEMBER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
2526 5TH ST N, COLUMBUS, MS 39705-2019
(662) 328-8402
(662) 328-1554
Mailing address
2526 5TH ST N, COLUMBUS, MS 39705-2019
(662) 328-8402
(662) 328-1554
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009986505
—
AL
05
—
06325773
—
MS
Enumeration date
07/15/2005
Last updated
03/03/2015
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