MID-SOUTH IMAGING CENTER LLC
NPI 1245966324
Clinic/Center in Southaven, MS
NPI Status: Active since July 29, 2022
Contact Information
363 SOUTHCREST CIR STE 102
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 772-4615
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 25D2269466
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-26-2026
About MID-SOUTH IMAGING CENTER LLC
This page provides the complete NPI Profile along with additional information for Mid-south Imaging Center Llc, a provider established in Southaven, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1245966324 assigned on July 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Gregory M Duckett (Sr Vp/clo)
- NPI
- 1245966324
- Provider Name
- MID-SOUTH IMAGING CENTER LLC
- Entity Type
- Organization
- Location Address
- 363 SOUTHCREST CIR STE 102 SOUTHAVEN, MS 38671
- Location Phone
- (662) 772-4615
- Mailing Address
- 350 N HUMPHREYS BLVD MEMPHIS, TN 38120
- Mailing Phone
- (901) 227-5233
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2022
- Last Update Date
- 07-29-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Catastrophic HSA - PPO
- Gold Standardized - PPO
- Gold Value - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- HA Bronze Exp Standardized - POS
- HA Bronze National - POS
- HA Gold Premier National - POS
- HA Gold Standardized - POS
- HA Platinum Premier National - POS
- HA Platinum Standardized - POS
- HA Silver AH - POS
- HA Silver Standardized - POS
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Classic National - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Standardized - POS
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple Chronic Care CKM - HMO
- Gold Classic Standard - HMO
- Silver Classic Standard - HMO
- Silver Simple - HMO
- Silver Simple Chronic Care CKM - HMO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple - EPO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Bronze Simple Chronic Care CKM - EPO
- Bronze Simple Diabetes - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2269466
- Facility Type
- Physician Office
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- BETH A. BRITT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mid-south Imaging Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245966324, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245966324, enumerated as an "organization" on July 29, 2022.
The provider is located at 363 SOUTHCREST CIR STE 102 SOUTHAVEN, MS 38671 and the phone number is (662) 772-4615.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, BlueCross. Please consult your insurance carrier or call the provider to verify.
