SOUTH CENTRAL DIAGNOSTIC CENTER – NPI #1619346863
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SOUTH CENTRAL DIAGNOSTIC CENTER is a provider located in LAUREL, MS. NPPES has assigned the NPI number 1619346863 to SOUTH CENTRAL DIAGNOSTIC CENTER on September 17, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CENTRAL DIAGNOSTIC CENTER” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL CLINICS, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 9 years ago on Jan 19, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CENTRAL DIAGNOSTIC CENTER below.

NPI Profile for
SOUTH CENTRAL CLINICS, INC.

NPI Number
1619346863
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL CLINICS, INC.
Doing Business As (dba): SOUTH CENTRAL DIAGNOSTIC CENTER
Primary location
1440 JEFFERSON ST
SUITE B
LAUREL, MS 39440-4243
Phone: (601) 649-6213 Fax: (601) 649-6217
Mailing address
PO BOX 247
LAUREL, MS 39441-0247
Phone: (601) 425-7550 Fax: (601) 399-6281
Organization Subpart
Yes - SOUTH CENTRAL DIAGNOSTIC CENTER is subpart of another organization.
Authorized Official
JAMES CANIZARO
CFO/VP OF FINANCE
Phone: (601) 399-6139
Updated
Identifiers

Identifiers for SOUTH CENTRAL DIAGNOSTIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS01880574
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
293D00000X
- Physiological Laboratory

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.