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METHODIST DIAGNOSTIC CENTER, LLC
NPI 1083777882
Radiologic Technologist - Magnetic Resonance Imaging in Olive Branch, MS

Active since December 19, 2006
9085 SANDIDGE CENTER COVE, SUITE 100, OLIVE BRANCH, MS 38654(662) 536-1000(662) 893-8824 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Methodist Diagnostic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METHODIST DIAGNOSTIC CENTER, LLC (NPI 1083777882) is a healthcare organization registered as a magnetic resonance imaging in Olive Branch, Mississippi and active in the NPI registry since December 2006. The organization lists John M Graves, President, as its authorized official.

NPPES Registry Identity

NPI1083777882
Entity TypeOrganization
Primary Taxonomy2471M1202X
Legal Business NameDESOTO DIAGNOSTIC IMAGING, LLC
Location Address9085 SANDIDGE CENTER COVE, SUITE 100Olive Branch, MS 38654-3575
Mailing Address9085 Sandidge Center Cove, Suite 100Olive Branch, MS 38654-3575 · (662) 536-1000 · Fax (662) 893-8824
Phone(662) 536-1000
Fax(662) 893-8824
Organization SubpartNo
Authorized OfficialJohn M GravesPresident · (901) 516-1410
Enumeration DateDecember 19, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1083777882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M1202X
Definition
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X
Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X
Also ListedRadiologic Technologist · MammographyTaxonomy 2471M2300X
Also ListedRadiologic Technologist · Nuclear Medicine TechnologyTaxonomy 2471N0900X
Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X
Also ListedRadiologic Technologist · Vascular SonographyTaxonomy 2471V0105X
9085 SANDIDGE CENTER COVE, Olive Branch, MS 38654
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Other Names 1

Doing Business AsMethodist Diagnostic Center, Llc

Other Identifiers 2

Medicaid00973276MS
Medicare OSCAR/certificationC03266MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desoto Diagnostic Imaging, LLC's NPI number?

The NPI number for Desoto Diagnostic Imaging, LLC is 1083777882. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Methodist Diagnostic Center, LLC.

Where is Desoto Diagnostic Imaging, LLC located?

Desoto Diagnostic Imaging, LLC is located at 9085 Sandidge Center Cove Suite 100, Olive Branch, MS 38654. The listed phone number is (662) 536-1000.

What is Desoto Diagnostic Imaging, LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

What insurance does Desoto Diagnostic Imaging, LLC accept?

Health plans from Molina Healthcare list Desoto Diagnostic Imaging, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desoto Diagnostic Imaging, LLC was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.