Mid-South Imaging Center LLC
NPI 1245966324ActiveOrganization· Clinic/Center· Southaven, MS
Clinic/Center in Southaven, Mississippi, registered in NPPES in July 2022. The authorized official on file is Gregory M. Duckett, Sr Vp/Clo. Medicare paid $111,638 for services to 967 patients in 2024.
Overview
| NPI | 1245966324 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2022 |
| Last updated in NPPES | Jul 29, 2022 |
| Certified by provider | Jul 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 967 |
|---|---|
| Services billed | 30,071 across 104 procedure codes |
| Paid by Medicare | $111,638 |
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