IMAGING CENTER OF MERIDIAN LLC


Address: 2021 24th Ave, Suite B, Meridian, MS 39301-3121
Phone: 6014834339

IMAGING CENTER OF MERIDIAN LLC (NPI# 1710935929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710935929
Entity Type Organization
Organization Name IMAGING CENTER OF MERIDIAN LLC
Other Organization Name ORTHOPAEDIC IMAGING ASSOCIATES LLC
Practice Address 2021 24th Ave
Suite B
Meridian
MS 39301-3121
Practice Telephone 6014834339
Practice Fax Number 6014834516
Mailing Telephone 6014834339
Mailing Fax Number 6014834516
Enumeration Date 2006-05-04
Last Update Date 2015-02-13
Authorized Official Name MR. PATRICK G HOWARD (MANAGING MEMBER)
Authorized Official Telephone 3372919161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
US DEPT OF LABOR W/C 220258300 01
MS 02609273 05

Other Provider/Organization Names

Other Name Type Code
Orthopaedic Imaging Associates LLC Former Legal Business Name - Organization

Office Location

Street Address 2021 24TH AVE
SUITE B
City MERIDIAN
State MS
Zip Code 39301-3121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

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1033544630 Atlantic Diagnostic Services, LLC Physiological Laboratory 165 W South Street, Suite 202, Hernando, MS 38632-2266 2013-09-13
1043305188 Rest Well Sleep Diagnostics, LLC Physiological Laboratory 865 East Broad St., Monticello, MS 39654 2006-10-04
1295827004 North Mississippi Spine Center, Inc Physiological Laboratory 109 Eureka Street, Suite B, Batesville, MS 38606 2006-09-29
1528096112 South Central Regional Open Mri, LLC Physiological Laboratory 227 S 13th Ave, Laurel, MS 39440-4225 2006-06-30
1205807237 Open Mri. LLC Physiological Laboratory 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-01-28
1083613699 Imaging Center of Columbus, LLC Physiological Laboratory 2526 5th St N, Columbus, MS 39705-2019 2005-07-15
1497754030 Open Air of Mslou LLC Physiological Laboratory 54 Seargent Prentiss Dr S, Suite 100, Natchez, MS 39120 2005-07-15
1144685561 Sleepworks, Inc. Physiological Laboratory 1 Woodgreen Pl, Suite 211, Madison, MS 39110-8161 2015-12-30
1518330711 Neuralogix Management, LLC Physiological Laboratory 232 Market St, Flowood, MS 39232-3339 2015-11-10
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Competitor

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City MERIDIAN
Zip Code 39301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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