IMAGING CENTER OF COLUMBUS LLC (COL MANAGEMENT LLC) NPI 1306918982

Radiology (Diagnostic Radiology) in Columbus, MS

NPI 1306918982 Organization Radiology Diagnostic Radiology CLIA Number 25D1051830 CLIA Certificate of Waiver

About IMAGING CENTER OF COLUMBUS LLC (COL MANAGEMENT LLC)

Imaging Center Of Columbus Llc (col Management Llc) is a provider established in Columbus, Mississippi specializing in radiology (diagnostic radiology) . The NPI number of Imaging Center Of Columbus Llc (col Management Llc) is 1306918982 and was assigned on November 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Imaging Center Of Columbus Llc (col Management Llc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Imaging Center Of Columbus Llc. The authorized official of this NPI record is James W. Holmes (Chief Operating Officer)

The CLIA number of Imaging Center Of Columbus Llc is 25D1051830 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Imaging Center Of Columbus 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.

NPI

1306918982

Provider NameIMAGING CENTER OF COLUMBUS LLC (COL MANAGEMENT LLC)
Provider Location Address2526 5TH ST N COLUMBUS, MS 39705
Provider Mailing Address2526 5TH ST N COLUMBUS, MS 39705
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameIMAGING CENTER OF COLUMBUS LLC
Other Name TypeDoing Business As (3)
Enumeration Date11-15-2006
Last Update Date07-10-2007


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

IMAGING CENTER OF COLUMBUS LLC
2526 5TH ST N
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-8402
Fax: (662) 328-1554

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Mailing Address

IMAGING CENTER OF COLUMBUS LLC
2526 5TH ST N
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-8402
Fax: (662) 328-1554



Authorized Official

Authorized Official Name JAMES W. HOLMES
Authorized Official TitleCHIEF OPERATING OFFICER
Authorized Official Phone(337) 291-9161

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 the NPI number 1306918982 is:

CLIA Number25D1051830
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083613699IMAGING CENTER OF COLUMBUS, LLC
Organization
Physiological Laboratory2526 5TH ST N
COLUMBUS, MS 39705
(662) 328-8402
1295808202COL MANAGEMENT, LLC
Organization
Radiology (Diagnostic Radiology)2526 5TH ST N
COLUMBUS, MS 39705
(662) 328-8402

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.