OPEN AIR OF MSLOU LLC (NPI# 1497754030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497754030 |
Entity Type | Organization |
Organization Name | OPEN AIR OF MSLOU LLC |
Practice Address |
54 Seargent Prentiss Dr S Suite 100 Natchez MS 39120 |
Practice Telephone | 6014422585 |
Practice Fax Number | 6014426299 |
Mailing Telephone | 6014422585 |
Mailing Fax Number | 6014426299 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2015-02-13 |
Authorized Official Name | PATRICK G HOWARD (MANAGING MEMBER) |
Authorized Official Telephone | 3372919161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00124853 | 05 | |
LA | 1442208 | 05 |
Street Address |
54 SEARGENT PRENTISS DR S SUITE 100 |
City | NATCHEZ |
State | MS |
Zip Code | 39120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
Find all providers in zip 39120 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164807616 | Bd2 Preventative Services LLC | Physiological Laboratory | 201 Country Cove Cir, Clinton, MS 39056-9632 | 2015-07-27 |
1033544630 | Atlantic Diagnostic Services, LLC | Physiological Laboratory | 165 W South Street, Suite 202, Hernando, MS 38632-2266 | 2013-09-13 |
1043305188 | Rest Well Sleep Diagnostics, LLC | Physiological Laboratory | 865 East Broad St., Monticello, MS 39654 | 2006-10-04 |
1295827004 | North Mississippi Spine Center, Inc | Physiological Laboratory | 109 Eureka Street, Suite B, Batesville, MS 38606 | 2006-09-29 |
1528096112 | South Central Regional Open Mri, LLC | Physiological Laboratory | 227 S 13th Ave, Laurel, MS 39440-4225 | 2006-06-30 |
1710935929 | Imaging Center of Meridian LLC | Physiological Laboratory | 2021 24th Ave, Suite B, Meridian, MS 39301-3121 | 2006-05-04 |
1205807237 | Open Mri. LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-01-28 |
1083613699 | Imaging Center of Columbus, LLC | Physiological Laboratory | 2526 5th St N, Columbus, MS 39705-2019 | 2005-07-15 |
1144685561 | Sleepworks, Inc. | Physiological Laboratory | 1 Woodgreen Pl, Suite 211, Madison, MS 39110-8161 | 2015-12-30 |
1518330711 | Neuralogix Management, LLC | Physiological Laboratory | 232 Market St, Flowood, MS 39232-3339 | 2015-11-10 |
Find all providers with the same taxonomy |
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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.