Organization
MAGNOLIA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L RIGGINS (COMPTROLLER)
(850) 434-6674
Entity
Organization
Contact information
Practice address
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(877) 274-4683
(800) 310-5665
Mailing address
997 S PALAFOX ST, PENSACOLA, FL 32502-5977
(850) 434-6674
(850) 434-9664
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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