Organization Active NPI

Mississippi Diagnostic Imaging Center LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Flowood, MS
National Provider Identifier
1447305206
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MISSISSIPPI DIAGNOSTIC IMAGING CENTER LTD
Practice address
103 River Oaks CT
Flowood, MS 39232-9755
Phone
(601) 932-3722
Fax
(601) 932-3758
NPI assigned
Jan 24, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nanci Pace
Title
Administration
Phone
(601) 932-3722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X MS Primary

Addresses

Primary practice location

103 River Oaks CT
Flowood, MS 39232-9755

Mailing address

103 River Oaks CT
Flowood, MS 39232-9755
Phone (601) 932-3722

Other identifiers 1

IdentifierTypeStateIssuer
09013725MedicaidMS

National Provider Directory

National Provider Directory

Locations

103 River Oaks Ct
Flowood, MS 39232
Phone (601) 932-3722

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447305206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER OAKS CT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329755",
            "telephone_number": "601-932-3722",
            "fax_number": "601-932-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER OAKS CT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329755",
            "telephone_number": "601-932-3722",
            "fax_number": "601-932-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI DIAGNOSTIC IMAGING CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "NANCI",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "601-932-3722"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013725",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.