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SOUTH CENTRAL DIAGNOSTIC CENTER
NPI 1619346863
General Practice in Laurel, MS

Active since September 17, 2015CLIA 25D0319147 · Certificate of Compliance
1440 JEFFERSON ST, SUITE B, LAUREL, MS 39440(601) 649-6213(601) 649-6217 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Central Diagnostic Center NPPES

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

SOUTH CENTRAL DIAGNOSTIC CENTER (NPI 1619346863) is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since September 2015. The organization holds a CLIA Certificate of Compliance certificate valid through October 13, 2027 and lists James T Canizaro, Cfo/vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1619346863
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH CENTRAL CLINICS, INC.
Location Address1440 JEFFERSON ST, SUITE BLaurel, MS 39440-4243
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 425-7550 · Fax (601) 399-6281
Phone(601) 649-6213
Fax(601) 649-6217
Organization SubpartYesParent: South Central Regional Medical Center
Authorized OfficialJames T CanizaroCfo/vp Of Finance · (601) 399-6139
Enumeration DateSeptember 17, 2015
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1619346863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
1440 JEFFERSON ST, Laurel, MS 39440
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Other Names 1

Doing Business AsSouth Central Diagnostic Center

Other Identifiers 1

Medicaid01880574MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0319147

South Central Diagnostic Center · Laurel, MS
Active · expires Oct 13, 2027
CLIA Number25D0319147
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorAmanda Fleming
Laboratory Phone(601) 649-6213
Laboratory LocationSouth Central Diagnostic Center1440 Jefferson Street, Suite B, Laurel, MS 39440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBBIE S FLOWERS FNP
Nurse Practitioner (Family)
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
DR. JOHN HASSELL MD
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
DR. JACK C EVANS MD
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
KELLY NICOLE TULLOS M.D.
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
DR. TERRY PITTS DO
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
MR. ALAN BRYSON PA
Physician Assistant (Medical)
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
THOMAS E DOBBS M.D.
Internal Medicine (Infectious Disease)
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577
SOUTH CENTRAL CLINICS, INC
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-0577

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 South Central Clinics, Inc.'s NPI number?

The NPI number for South Central Clinics, Inc. is 1619346863. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as South Central Diagnostic Center.

Where is South Central Clinics, Inc. located?

South Central Clinics, Inc. is located at 1440 Jefferson St Suite B, Laurel, MS 39440. The listed phone number is (601) 649-6213.

What is South Central Clinics, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does South Central Clinics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0319147) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Central Clinics, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list South Central Clinics, Inc. 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 South Central Clinics, Inc. was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.