Organization
CENTRAL MS DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P STAGG (CEO)
(225) 270-7077
Entity
Organization
Contact information
Practice address
2630 COURTHOUSE CIR, FLOWOOD, MS 39232-9562
(601) 487-8274
(601) 487-8701
Mailing address
4241 VETERANS MEMORIAL BLVD STE 200, METAIRIE, LA 70006-5430
(888) 273-3445
(504) 883-5384
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125434
—
MS
Enumeration date
10/05/2006
Last updated
11/22/2024
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