BMH North Mississippi Imaging Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BMH NORTH MISSISSIPPI IMAGING SERVICES LLC

Practice address

504 Azalea Dr
Oxford, MS 38655-5397

Phone

(662) 513-9600

NPI assigned

Sep 23, 2008

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other names 1

• Oxford Diagnostic Center-Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• BMH North Mississippi Imaging Services, LLC

  • Clinic/Center
  • Oxford, MS
  • NPI 1689835639

  5294803672

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

BMH North Mississippi Imaging Services LLC2 organizations share this tax ID, including this one

Part of

Baptist Memorial Health Care Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BMH North Mississippi Imaging Services, LLC

  • Clinic/Center
  • Oxford, MS
  • NPI 1689835639
  NPD tax ID

Member of 1

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

• Baptist Memorial Hospital North Mississippi, Inc

  • Rehabilitation Hospital Unit
  • Oxford, MS
  • NPI 1225125859

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Baptist Memorial Health Care Corp.

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1649615964
  NPPES parent name

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1568612901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555397",
            "telephone_number": "662-513-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMH NORTH MISSISSIPPI IMAGING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2008-09-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Diagnostic Center-Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oxford Diagnostic Center-Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Blaylock, CRNA
• Meggan Hanson Blaylock, MS
• Kenya Grace Bledsoe, PHD, LPC-S
• Amanda Bloodworth
• Hannah Blount, RN
• BMH North Mississippi Imaging Services, LLC
• Boa Vida Hospital of Aberdeen, Ms LLC
• Candace Faith Bolden
• Felicia Machel Bolton, MSW
• Terance Booker, B.A.

• Clinical Medical Laboratory in Oxford, MS
• Providers in Oxford, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.