| Organization Name: | COMPASS IMAGING LLC |
| NPI Number: | 1932453065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE VAUGHN (ADMINISTRATOR) |
| Mailing Address: | 3200 Mallett Rd Suite E-2 Diberville |
| State: | MS US |
| Postal Code: | 395409305 |
| Phone Number: | 2283147226 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2012 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |