NPIMap

Organization Active NPI

Imaging Center of Meridian LLC

  • Physiological Laboratory
  • Meridian, MS
National Provider Identifier
1710935929
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
IMAGING CENTER OF MERIDIAN LLC
Practice address
2021 24TH Ave
Suite B
Meridian, MS 39301-3121
Phone
(601) 483-4339
Fax
(601) 483-4516
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Margarita L. Torres
Title
Credentialing Specialist
Phone
(504) 459-3220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2021 24TH Ave
Suite B
Meridian, MS 39301-3121

Mailing address

4241 Veterans Memorial Blvd Ste 200
Metairie, LA 70006-5430
Phone (504) 459-3201

Other identifiers 2

IdentifierTypeStateIssuer
02609273MedicaidMS
220258300OtherUS DEPT OF LABOR W/C

Other names 1

  • Orthopaedic Imaging Associates LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000841 MS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4981663093 Practice locations: Meridian, MS

National Provider Directory

National Provider Directory

Locations

2021 24th Ave
#B
Meridian, MS 39301
Phone (601) 442-2585

Practitioners & affiliated clinicians

Practitioners 8

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1710935929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065430",
            "telephone_number": "504-459-3201",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 24TH AVE",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013121",
            "telephone_number": "601-483-4339",
            "fax_number": "601-483-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER OF MERIDIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "504-459-3220"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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": "02609273",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR W/C",
            "identifier": "220258300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Imaging Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.