Organization Active NPI

North Mississippi Radiology Services LLC

  • Diagnostic Radiology Physician
  • Southaven, MS
National Provider Identifier
1184185092
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH MISSISSIPPI RADIOLOGY SERVICES LLC
Practice address
7420 Guthrie Dr N Ste 105
Southaven, MS 38671-5857
Phone
(662) 349-4321
Fax
(662) 349-3263
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Loi T. Vu, MDNPI 1043258247
Title
President / MD
Phone
(800) 841-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

7420 Guthrie Dr N Ste 105
Southaven, MS 38671-5857

Mailing address

2527 Cranberry Hwy
Wareham, MA 02571-1046
Phone (800) 841-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, MI, LA, TX, CO, NJ, MN, ID, NV, AZ, OR, CA, NC, ME, CT16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20190701000216 MS Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 14 practitioners
Practice locations: Southaven, MS
O20220531001473 TN Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 9 practitioners
Practice locations: Collierville, TN; Cookeville, TN; Knoxville, TN
O20240215003129 MI Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Brighton, MI
O20240222000633 LA Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA
O20240222001063 TX Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20240222001805 CO Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO
O20240223000135 NJ Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Denville, NJ
O20240223003030 MN Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN
O20240224000289 ID Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID
O20240224000536 NV Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20240224000547 AZ Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 3 practitioners
Practice locations: Flagstaff, AZ; Prescott, AZ; Tempe, AZ
O20240224000565 OR Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR
O20240326001069 CA Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 5 practitioners
Practice locations: Alta Loma, CA; Ladera Ranch, CA; Poway, CA; San Luis Obispo, CA; Walnut Creek, CA
O20240416002254 NC Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 2 practitioners
Practice locations: Chapel Hill, NC; Lenoir, NC
O20240529000354 ME Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton Springs, ME
O20240627001419 CT Part B Supplier - Clinic/Group Practice 0345574026 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, CT

National Provider Directory

National Provider Directory

Locations

7420 Guthrie Dr N
Ste 105
Southaven, MS 38671
Phone (716) 435-5044

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1184185092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711046",
            "telephone_number": "800-841-5200",
            "fax_number": "508-273-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N STE 105",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715857",
            "telephone_number": "662-349-4321",
            "fax_number": "662-349-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI RADIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "LOI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT / MD",
        "authorized_official_telephone_number": "800-841-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.