Organization
COMPASS IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE VAUGHN (ADMINISTRATOR)
(228) 314-7226
Entity
Organization
Contact information
Practice address
3200 MALLETT RD, SUITE E-2, DIBERVILLE, MS 39540-9305
(228) 314-7226
Mailing address
3200 MALLETT RD, SUITE E-2, DIBERVILLE, MS 39540-9305
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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