Grenada Diagnostic Radiology

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

222008 Issued in MS

Legal business name

GRENADA DIAGNOSTIC RADIOLOGY

Practice address

1300 Sunset Dr
Suite U
Grenada, MS 38901-4086

Phone

(662) 226-9279

Fax

(662) 226-9779

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph C Armstrong, M.D.

Title

Administrator

Phone

(662) 226-9279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1184685448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE U",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-226-9279",
            "fax_number": "662-226-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE U",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-226-9279",
            "fax_number": "662-226-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA DIAGNOSTIC RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-226-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "222008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125988",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grenada Anesthesiology Inc.
• Grenada Cardiology LLC
• Grenada Clinic for Women, PA
• Grenada Dental Associates
• Grenada Dental Clinic PLLC
• Grenada Diagnostic Sleep Center, LLC
• Grenada Emergency Group, LLC
• Grenada Family Chiropractic Inc
• Grenada Family Medicine Clinic
• Grenada Hematology Oncology LLC

• Clinic/Center in Grenada, MS
• Providers in Grenada, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.