Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRESCENT CITY SURGICAL CENTRE DIAGNOSTICS, LLC
NPI 1598687717
Clinical Medical Laboratory in Kosciusko, MS

Active since July 28, 2026
735 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090(662) 803-6086(504) 504-5211 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent City Surgical Centre Diagnostics, Llc NPPES

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

CRESCENT CITY SURGICAL CENTRE DIAGNOSTICS, LLC (NPI 1598687717) is a healthcare organization registered as a clinical medical laboratory in Kosciusko, Mississippi and active in the NPI registry since July 2026. The organization lists William Lawrence Bouchillon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598687717
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCRESCENT CITY SURGICAL CENTRE DIAGNOSTICS, LLC
Location Address735 VETERANS MEMORIAL DRKosciusko, MS 39090-3854
Mailing Address735 Veterans Memorial DrKosciusko, MS 39090-3854 · (662) 803-6086 · Fax (504) 504-5211
Fax(504) 504-5211
Organization SubpartYes
Authorized OfficialWilliam Lawrence BouchillonCeo · (662) 803-6086
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1598687717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
735 VETERANS MEMORIAL DR, Kosciusko, MS 39090

Other Identifiers 1

Other25D2346670MS · Clia

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 Crescent City Surgical Centre Diagnostics, LLC's NPI number?

The NPI number for Crescent City Surgical Centre Diagnostics, LLC is 1598687717. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Crescent City Surgical Centre Diagnostics, LLC located?

Crescent City Surgical Centre Diagnostics, LLC is located at 735 Veterans Memorial Dr, Kosciusko, MS 39090. The listed phone number is (662) 803-6086.

What is Crescent City Surgical Centre Diagnostics, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Crescent City Surgical Centre Diagnostics, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.