Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent City Surgical Centre Diagnostics, LLC

Organization Clinical Medical Laboratory · NPI 1598687717

Crescent City Surgical Centre Diagnostics, LLC is a Clinical Medical Laboratory in Kosciusko, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

735 Veterans Memorial Dr
Kosciusko, MS 39090-3854
Phone: (662) 803-6086
Fax: (504) 504-5211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1598687717
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrescent City Surgical Centre Diagnostics, LLC
Authorized official William Bouchillon — Ceo · (662) 803-6086
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address735 Veterans Memorial Dr, Kosciusko, MS 39090-3854