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Organization

CEDAR LAKE OPEN MRI LLC

Active
Other names
Cedar Lake MRI
Organization subpart
No

Provider details

NPI number
Authorized official
CHRYSTAL GARY (DIRECTOR OF IMAGING)
(228) 447-4674
Entity
Organization

Contact information

Practice address
1720C MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 354-0251
(228) 396-3550
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 354-0251
(228) 396-3550

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
02/21/2012
Last updated
01/21/2026
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