Smb Radiology Pa

LBN: Smb Radiology Pa
Smb Radiology Pa is an health care organization with primary practice located at 4320 15Th St Suite A, Gulfport MS 39501-2524. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Smb Radiology Pa can be contacted via phone (228) 864-4392, or through Malley, Brenda C via phone (228) 864-4392.

Contact Information

Primary practice address
4320 15Th St Suite A Gulfport MS 39501-2524
Phone: (228) 864-4392
Fax: (228) 868-7103
Website:
Map and Directions
Authorized official contact:
Name: Malley, Brenda C
Phone: (228) 864-4392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1609877356
LBN Legal business name Smb Radiology Pa
DBA Doing business as
Authorized official Malley, Brenda C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 15th, 2010 - 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 1609877356 NPPES
Mississippi MEDICAID 09014149

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