| Organization Name: | MAGNOLIA IMAGING LLC |
| NPI Number: | 1184801201 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELE L RIGGINS (COMPTROLLER) |
| Mailing Address: | 3890 Bienville Blvd Ocean Springs |
| State: | MS US |
| Postal Code: | 395645803 |
| Phone Number: | 8772744683 |
| Fax Number: | 8003105665 |
| NPI Enumeration Date: | 01/31/2008 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |