RADIOLOGY CLINIC (NPI# 1114174539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114174539 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY CLINIC |
| Practice Address |
2400 Fifth Street North Columbus MS 39705-2000 |
| Practice Telephone | 6623288404 |
| Practice Fax Number | 6623294645 |
| Mailing Telephone | 6623288404 |
| Mailing Fax Number | 6623294645 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | BILLY L SULLIVAN (OWNER) |
| Authorized Official Telephone | 6623288404 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528166725 | Radiology Clinic | Radiology | 2400 5th St N, Columbus, MS 39705-2000 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RADIOLOGY CLINIC, LLC, THE | 208 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 |
| Street Address |
2400 FIFTH STREET NORTH |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598081093 | Columbus Diagnostic Center Inc | Clinic/Center | 7500 Veterans Pkwy Ste B, Columbus, GA 31909-2525 | 2010-04-09 |
| 1720014178 | Envision Imaging, Inc. | Clinic/Center | 5020 Reed Rd, Suite B, Columbus, OH 43220-2581 | 2006-06-25 |
| 1780669622 | American Health Imaging of Ohio LLC | Clinic/Center | 866 W Broad St, Columbus, OH 43222-1421 | 2005-12-14 |
| 1356741656 | Absolute Medical Diagnostics Inc | Clinic/Center | 5353 Veterans Pkwy, Suite C, Columbus, GA 31904-4495 | 2014-08-25 |
| 1316108624 | Columbus Diagnostic Center Inc | Clinic/Center | 2040 10th Ave, Columbus, GA 31901-1461 | 2008-06-19 |
| 1891800959 | Columbus Area Radiology LLC | Clinic/Center | 790 Creekview Dr, Columbus, IN 47201-2606 | 2006-08-20 |
| 1376574699 | Big Run Imaging Center LLC | Clinic/Center | 4300 Clime Rd, Columbus, OH 43228-6491 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902004997 | Miss-lou Ct Center, LLC | Clinic/Center | 140 Jeff Davis Blvd, Suite B, Natchez, MS 39120-5104 | 2007-07-11 |
| 1568558385 | Central Ms Imaging LLC Dba Southern Diagnostic Imaging | Clinic/Center | 1037 N Flowood Dr, Flowood, MS 39232-9533 | 2006-10-05 |
| 1528179611 | Ridgeland Diagnostic Center | Clinic/Center | 730 Ridgewood Rd Ste C, Ridgeland, MS 39157-4426 | 2006-08-31 |
| 1275568347 | Preferred Imaging, LLC | Clinic/Center | 575 Highway 6 E, Batesville, MS 38606-3003 | 2006-07-11 |
| 1710351572 | Alliance Healthcare Services Inc | Clinic/Center | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2015-11-17 |
| 1013217074 | Sharkey Issaquena Comm Hospital - Radiology | Clinic/Center | 47 S Fourth St, Rolling Fork, MS 39159-5146 | 2010-10-25 |
| 1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
| 1841404985 | Neshoba Physician Billing Service | Clinic/Center | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-05-09 |
| 1265528467 | Open Mri of Jackson, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
| 1255427464 | Central Ms Diagnostics, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RADIOLOGY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.