OrganizationActive
Desoto Diagnostic Imaging, LLC
NPI 1083777882 · Magnetic Resonance Imaging Radiologic Technologist · Olive Branch, MS
Provider details
- NPI number
- 1083777882
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- John Graves, President(901) 516-1410
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Radiography Radiologic Technologist2471C3402X
Technologists, Technicians & Other Technical Service Providers
- Mammography Radiologic Technologist2471M2300X
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
- Sonography Radiologic Technologist2471S1302X
Technologists, Technicians & Other Technical Service Providers
Practice location
9085 Sandidge Center Cove
Suite 100
Olive Branch, MS 38654-3575
Phone: (662) 536-1000
Fax: (662) 893-8824
Approximate (ZIP-level) locationGet directions
Mailing address
9085 Sandidge Center Cove
Olive Branch, MS 38654-3575
Other names (DBA / former)
- Doing business as
- Methodist Diagnostic Center, LLC
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2011-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.