Diagnostic Radiology Associates, Pa

LBN: Diagnostic Radiology Associates, Pa
Diagnostic Radiology Associates, Pa is an health care organization with primary practice located at 1050 N Flowood Dr Suite A-4, Flowood MS 39232-9738. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as the primary health care specialty. Diagnostic Radiology Associates, Pa can be contacted via phone (601) 936-0494, or through Fortson, Jeffrey Scott via phone (770) 590-3848.

Contact Information

Primary practice address
1050 N Flowood Dr Suite A-4 Flowood MS 39232-9738
Phone: (601) 936-0494
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fortson, Jeffrey Scott
Phone: (770) 590-3848

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X Mississippi

Profile Details

NPI number 1407860315
LBN Legal business name Diagnostic Radiology Associates, Pa
DBA Doing business as
Authorized official Fortson, Jeffrey Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 26th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407860315 NPPES
Mississippi MEDICAID 09011383
Mississippi Other CL2516

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