Methodist Diagnostic Center, Llc

LBN: Desoto Diagnostic Imaging, Llc
Methodist Diagnostic Center, Llc is an health care organization with primary practice located at 9085 Sandidge Center Cove Suite 100, Olive Branch MS 38654-3575. The organization recently has 7 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging is the primary health care specialty. Desoto Diagnostic Imaging, Llc can be contacted via phone (662) 536-1000, or through Graves, John M via phone (901) 516-1410.

Contact Information

Primary practice address
9085 Sandidge Center Cove Suite 100 Olive Branch MS 38654-3575
Phone: (662) 536-1000
Fax: (662) 893-8824
Website:
Map and Directions
Authorized official contact:
Name: Graves, John M
Phone: (901) 516-1410

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X

Profile Details

NPI number 1083777882
LBN Legal business name Desoto Diagnostic Imaging, Llc
DBA Doing business as Methodist Diagnostic Center, Llc
Authorized official Graves, John M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 30th, 2011 - 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 1083777882 NPPES
Mississippi MEDICAID 00973276

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