COMPASS IMAGING LLC (NPI# 1760453799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760453799 |
| Entity Type | Organization |
| Organization Name | COMPASS IMAGING LLC |
| Practice Address |
14245 Dedeaux Rd Gulfport MS 39503-3369 |
| Mailing Address |
Po Box 2819 Gulfport MS 39505-2819 |
| Practice Telephone | 2283147226 |
| Practice Fax Number | 2283147227 |
| Mailing Telephone | 2283147226 |
| Mailing Fax Number | 2283147227 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MS. LESLIE C VAUGHN (ADMINISTRATOR) |
| Authorized Official Telephone | 2283147226 |
| 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 | 16169 | 05 | |
| DR RICHARD HAYS NPI | 1831232479 | 01 | |
| DR WILLAM HENRY NPI | 1144363771 | 01 | |
| DR DIANNA RAGULA | 1154338879 | 01 | |
| MS | 10410 | 05 | |
| MS | 03733573 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932453065 | Compass Imaging LLC | Physiological Laboratory | 3200 Mallett Rd, Suite E-2, Diberville, MS 39540-9305 | 2012-10-26 |
| Street Address |
14245 DEDEAUX RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807237 | Open Mri. LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-01-28 |
| 1669757761 | Coastal Eye Surgery Center | Clinic/Center | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-10-20 |
| 1831232479 | Richard P Hays | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2007-02-14 |
| 1144363771 | William O Henry | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2007-02-14 |
| 1205850773 | Gulf Coast Imaging | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-07-27 |
| 1265457030 | Open Mri, LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-07-13 |
| 1114988086 | Jason Bradley Crowder | Radiology | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| 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 |
|---|---|---|---|---|
| 1205807237 | Open Mri. LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-01-28 |
| 1275873986 | Grace Home Testing Inc | Physiological Laboratory | 1120 Broad Ave, Gulfport, MS 39501-2414 | 2013-02-18 |
| 1265457030 | Open Mri, LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-07-13 |
| 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 |
| 1083613699 | Imaging Center of Columbus, LLC | Physiological Laboratory | 2526 5th St N, Columbus, MS 39705-2019 | 2005-07-15 |
| 1497754030 | Open Air of Mslou LLC | Physiological Laboratory | 54 Seargent Prentiss Dr S, Suite 100, Natchez, MS 39120 | 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.