Grenada Diagnostic Radiology

LBN: Grenada Diagnostic Radiology
Grenada Diagnostic Radiology is an health care organization with primary practice located at 1300 Sunset Dr Suite U, Grenada MS 38901-4086. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Grenada Diagnostic Radiology can be contacted via phone (662) 226-9279, or through Armstrong, Ralph C via phone (662) 226-9279.

Contact Information

Primary practice address
1300 Sunset Dr Suite U Grenada MS 38901-4086
Phone: (662) 226-9279
Fax: (662) 226-9779
Website:
Map and Directions
Authorized official contact:
Name: Armstrong, Ralph C Doctor of Medicine (MD)
Phone: (662) 226-9279

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 222008 Mississippi

Profile Details

NPI number 1184685448
LBN Legal business name Grenada Diagnostic Radiology
DBA Doing business as
Authorized official Armstrong, Ralph C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 23rd, 2009 - about 15 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 1184685448 NPPES
Mississippi MEDICAID 00125988

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