South Central Regional Open MRI, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SOUTH CENTRAL REGIONAL OPEN MRI, LLC

Practice address

227 S 13TH Ave
Laurel, MS 39440-4225

Phone

(601) 428-5026

Fax

(601) 428-0418

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick G. Howard

Title

Managing Member

Phone

(337) 291-9161

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Open Air MRI of Laurel Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• South Central Regional Medical Center

  • Home Health Agency
  • Laurel, MS
  • NPI 1093790404

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vistasp Daruwalla, MD

  • Diagnostic Radiology Physician
  • Laurel, MS
  • NPI 1679984546
  NPD
• Matthew Martin

  • Diagnostic Radiology Physician
  • Laurel, MS
  • NPI 1023579190
  NPD
• Steven Blaine Quin, M.D.

  • Diagnostic Radiology Physician
  • Laurel, MS
  • NPI 1225219405
  NPD
• Daniel Frederick Vial, M.D.

  • Diagnostic Radiology Physician
  • Laurel, MS
  • NPI 1700893047
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1528096112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404225",
            "telephone_number": "601-428-5026",
            "fax_number": "601-428-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404225",
            "telephone_number": "601-428-5026",
            "fax_number": "601-428-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL REGIONAL OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-291-9161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01230725",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Air MRI of Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Central Regional Medical Center
• South Central Regional Medical Center
• South Central Regional Medical Center
• South Central Regional Medical Center
• South Central Regional Medical Ctr
• South Central Regional Sleep Lab
• South Central Regional Sleep Lab
• South Mississippi Home Health, Inc.
• South Mississippi Home Health, Inc. - Region I
• Southern Bone & Joint Specialists, PA

• Physiological Laboratory in Laurel, MS
• Providers in Laurel, MS by specialty
• Physiological Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.