Magnolia Imaging LLC

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

Legal business name

MAGNOLIA IMAGING LLC

Practice address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Phone

(877) 274-4683

Fax

(800) 310-5665

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Michele L Riggins

Title

Comptroller

Phone

(850) 434-6674

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1184801201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 S PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025977",
            "telephone_number": "850-434-6674",
            "fax_number": "850-434-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "877-274-4683",
            "fax_number": "800-310-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "RIGGINS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "850-434-6674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Lyell, MD
• Kayla Marie Lynch, RBT
• M Aftab Anwar
• Brian Curtis Maddox, D.O.
• Magnolia Counseling Center & Services, LLC
• Magnolia Medical Center
• Magnolia Psychiatric PA
• Magnolia Tides Counseling and Consulting
• Maitri Mental Health
• Rhyannen A Majo Smith

• Computed Tomography Radiologic Technologist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Computed Tomography Radiologic Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.