| Oxford Diagnostics Center | |
|
504 Azalea Dr Oxford MS 38655-5397 | |
| (662) 513-9600 | |
| Not Available |
| Full Name | Oxford Diagnostics Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 Azalea Dr, Oxford, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/ CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxford Diagnostics Center 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (662) 513-9600 | Oxford Diagnostics Center 504 Azalea Dr Oxford MS 38655-5397 Ph: (662) 513-9600 |
| NPI Number | 1689835639 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Medicare PECOS PAC ID | 5294803672 |
|---|---|
| Medicare Enrollment ID | O20090105000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689835639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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