MERIDIAN IMAGING, PA
NPI 1962682468
Radiology - Diagnostic Radiology in Meridian, MS

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since November 13, 2007CLIA 25D2327124 · Waiver

1102 CONSTITUTION AVE, FIRST FLOOR, MERIDIAN, MS 39301(601) 693-5843(601) 693-0173 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Meridian Imaging, Pa NPPES

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

MERIDIAN IMAGING, PA (NPI 1962682468) is a healthcare organization registered as a diagnostic radiology in Meridian, Mississippi and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Michael Stacy Thaggard, President, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1962682468

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameMERIDIAN IMAGING, PA

Location Address1102 CONSTITUTION AVE, FIRST FLOORMeridian, MS 39301-4001

Mailing AddressPo Box 5653Meridian, MS 39302-5653 · (601) 693-5843 · Fax (601) 693-0173

Phone(601) 693-5843

Fax(601) 693-0173

Organization SubpartNo

Authorized OfficialMichael Stacy ThaggardPresident · (601) 693-5843

Enumeration DateNovember 13, 2007

Last NPPES UpdateJune 29, 2015

✔ NPI 1962682468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

1102 CONSTITUTION AVE, Meridian, MS 39301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 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: 25D2327124
Facility Type: Ambulatory Surgery Center
Certificate Effective Date: July 16, 2025
Certificate Expiration Date: July 15, 2027
Laboratory Director: RUSH N. LANE
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Meridian Imaging, Pa 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.