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Grenada Diagnostic Radiology
Clinic/Center in Grenada, Mississippi
NPI 1184685448

Grenada Diagnostic Radiology is a Clinic/Center based in Grenada, MS. Grenada Diagnostic Radiology practices in Grenada, MS. The NPI Number for Grenada Diagnostic Radiology is 1184685448 and holds a License No. 222008 (Mississippi).

The current practice location address for Grenada Diagnostic Radiology is 1300 Sunset Dr, Grenada, MS and can be reached out via phone at 662-226-9279 and via fax at 662-226-9779.

Location: 1300 Sunset Dr, Grenada, MS, 38901-4086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184685448
Provider Name
Grenada Diagnostic Radiology
Credential
Provider Entity Type
Organization
Address
1300 Sunset Dr, Grenada, MS, 38901-4086
Phone Number
662-226-9279
Fax Number
662-226-9779
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125988 05 MS
institution
Provider Business Practice Location Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-9279
Fax Number
662-226-9779
person
Provider Business Mailing Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-9279
Fax Number
662-226-9779
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
222008 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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