Radiology Clinic in Columbus - Diagnostic Radiology

Radiology Clinic - NPI 1528166725

Radiology Clinic is a Diagnostic Radiology in Columbus, Mississippi. Radiology Clinic practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Radiology Clinic is 1528166725. The last update date is 2008-06-25.

Radiology Clinic's current location address is 2400 5th St N, Columbus, Mississippi. You can contact this provider via phone number 6623288404 and fax number 6623294645. The mailing address for Radiology Clinic is 2400 5th St N, Columbus, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Radiology Clinic
Address 2400 5th St N, Columbus, Mississippi
Phone Number 6623288404
Fax Number 6623294645
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PART
Authorized Official Name Sullivan L. Billy
Credentials M. D.
Telephone Number 6623288404

NPI Number Detail

NPI Number 1528166725
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-06-25

Provider Mailing Address Detail

Address 2400 5th St N
City Columbus
State Mississippi (MS)
Post Code 397052000
Phone Number 6623288404
Fax Number 6623294645

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4908
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
411589514 MS BLUE CROSS OF MS
9010990 MS --

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FAQs about Radiology Clinic

What is the unique provider identifier assigned to Radiology Clinic?

The Radiology Clinic has been issued the NPI (National Provider Identifier) 1528166725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Radiology Clinic?

The Radiology Clinic is situated at 2400 5Th St N, in the city of Columbus, state of MS, with the zip code 397052000.

What is the area of specialization for Radiology Clinic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Radiology Clinic is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528166725 to Radiology Clinic?

The Radiology Clinic received its 1528166725 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date were the details related to Radiology Clinic most recently updated or revised?

The information pertaining to Radiology Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-25.

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