COMPASS IMAGING LLC
NPI 1760453799
Physiological Laboratory in Gulfport, MS

Active since January 28, 2006CLIA 25D1105922 · Waiver
14245 DEDEAUX RD, GULFPORT, MS 39503(228) 314-7226(228) 314-7227 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Compass Imaging Llc NPPES

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

COMPASS IMAGING LLC (NPI 1760453799) is a healthcare organization registered as a physiological laboratory in Gulfport, Mississippi and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Leslie C Vaughn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760453799
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameCOMPASS IMAGING LLC
Location Address14245 DEDEAUX RDGulfport, MS 39503-3369
Mailing AddressPo Box 2819Gulfport, MS 39505-2819 · (228) 314-7226 · Fax (228) 314-7227
Fax(228) 314-7227
Organization SubpartNo
Authorized OfficialLeslie C VaughnAdministrator · (228) 314-7226
Enumeration DateJanuary 28, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1760453799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

14245 DEDEAUX RD, Gulfport, MS 39503

Other Identifiers 10

Other1144363771Dr Willam Henry Npi
Other1831232479Dr Richard Hays Npi
Medicare UPINE04465
Other1154338879Dr Dianna Ragula
Medicare ID-Type Unspecified470000039MS
Medicaid03733573MS
Medicare UPIND66550
Medicaid10410MS
Medicaid16169MS
Medicare UPINH28243

Accepted 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 Waiver 25D1105922

Compass Imaging LLC · Gulfport, MS
Active · expires Sep 29, 2027
CLIA Number25D1105922
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorMark Wall
Laboratory Phone(228) 314-7226
Laboratory LocationCompass Imaging LLC14245 Dedeaux Road, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physiological Laboratory
14245 DEDEAUX RD
GULFPORT, MS 39503
Clinic/Center (Ophthalmologic Surgery)
14245 DEDEAUX RD
GULFPORT, MS 39503
Specialist
14245 DEDEAUX RD
GULFPORT, MS 39503
Physiological Laboratory
14245 DEDEAUX RD
GULFPORT, MS 39503
Specialist
14245 DEDEAUX RD
GULFPORT, MS 39503
Radiology (Diagnostic Radiology)
14245 DEDEAUX RD
GULFPORT, MS 39503
Radiology (Diagnostic Radiology)
14245 DEDEAUX RD
GULFPORT, MS 39503

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 Compass Imaging LLC's NPI number?

The NPI number for Compass Imaging LLC is 1760453799. It was assigned to this organization in the NPPES registry on January 28, 2006.

Where is Compass Imaging LLC located?

Compass Imaging LLC is located at 14245 Dedeaux Rd, Gulfport, MS 39503. The listed phone number is (228) 314-7226.

What is Compass Imaging LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Does Compass Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1105922) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Compass Imaging LLC 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 list Compass 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 Compass Imaging LLC was last updated on January 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.