Tenet Gulf Coast Imaging

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

TENET GULF COAST IMAGING

Doing business as

Cedar lake Imaging Center

Practice address

975A Cedar Lake Rd
Suite 150
Biloxi, MS 39532-2128

Phone

(228) 395-1601

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kyle Burtnett

Title

VSVP of Outpatient Services, Tenet

Phone

(469) 893-2153

Specialties & licenses 1

Addresses

Other names 1

• Cedar lake Imaging Center Doing business as

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1811932577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676764",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676764",
            "telephone_number": "228-396-1601",
            "fax_number": "228-392-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975A CEDAR LAKE RD",
            "address_2": "SUITE 150",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322128",
            "telephone_number": "228-395-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET GULF COAST IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "VSVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar lake Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.