| South Central Diagnostic Center | |
|
1440 Jefferson St Suite B Laurel MS 39440-4243 | |
| (601) 649-6213 | |
| (601) 649-6217 |
| Full Name | South Central Diagnostic Center |
|---|---|
| Speciality | General Practice |
| Location | 1440 Jefferson St, Laurel, Mississippi |
| Authorized Official Name and Position | James T Canizaro (CFO/VP OF FINANCE) |
| Authorized Official Contact | 6013996139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Diagnostic Center Po Box 247 Laurel MS 39441-0247 Ph: (601) 425-7550 | South Central Diagnostic Center 1440 Jefferson St Suite B Laurel MS 39440-4243 Ph: (601) 649-6213 |
| NPI Number | 1619346863 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619346863 | NPI | - | NPPES |
| 01880574 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 293D00000X | Physiological Laboratory | () | Secondary |
South Central Urgent Care and Industrial Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 Jefferson St, Laurel, MS 39440 Phone: 601-426-3421 Fax: 601-426-2493 |
The Fhc Foundation for Health Care Disparities, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 |
SC Wound Care & Hyperbaric Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-426-4739 |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 |
Family Health Center Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |