Diagnostic Tissue/Cytology Group, Pllc

LBN: Diagnostic Tissue/Cytology Group, Pllc
Diagnostic Tissue/Cytology Group, Pllc is an health care organization with primary practice located at 1512 20Th Ave , Meridian MS 39301-4124. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Diagnostic Tissue/Cytology Group, Pllc can be contacted via phone (601) 483-8300, or through Wilkinson, Brian L. via phone (601) 553-6809.

Contact Information

Primary practice address
1512 20Th Ave Meridian MS 39301-4124
Phone: (601) 483-8300
Fax: (601) 484-7776
Website:
Map and Directions
Authorized official contact:
Name: Wilkinson, Brian L. Doctor of Medicine (MD)
Phone: (601) 553-6809

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 25D0651894 Mississippi
Laboratories / Clinical Medical Laboratory 291U00000X 25D1011258 Mississippi
Laboratories / Clinical Medical Laboratory 291U00000X 25D0980061 Mississippi
Laboratories / Clinical Medical Laboratory 291U00000X 25D0318506 Mississippi

Profile Details

NPI number 1659482529
LBN Legal business name Diagnostic Tissue/Cytology Group, Pllc
DBA Doing business as
Authorized official Wilkinson, Brian L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659482529 NPPES
Mississippi Other P00132040 MEDICARE RAILROAD
Mississippi MEDICAID 07478777 MEDICARE RAILROAD
Mississippi MEDICAID 690000005 MEDICARE RAILROAD

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