Main Street Clinical Laboratory, Inc

LBN: Main Street Clinical Laboratory, Inc
Main Street Clinical Laboratory, Inc is an health care organization with primary practice located at 8727 Northwest Dr , Southaven MS 38671-2429. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Main Street Clinical Laboratory, Inc can be contacted via phone (662) 510-5432, or through Vines, Mark via phone (662) 288-8532.

Contact Information

Primary practice address
8727 Northwest Dr Southaven MS 38671-2429
Phone: (662) 510-5432
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vines, Mark
Phone: (662) 288-8532

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 25D2001454 Mississippi

Profile Details

NPI number 1881063998
LBN Legal business name Main Street Clinical Laboratory, Inc
DBA Doing business as
Authorized official Vines, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2015
Last updated Sep 18th, 2015 - about 9 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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