Medical Foundation Of South Ms Lab
LBN: Medical Foundation Of South Ms
Medical Foundation Of South Ms Lab is an health care organization with primary practice located at 1110 Broad Ave Suite 700, Gulfport MS 39501-8907. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Medical Foundation Of South Ms can be contacted via phone (228) 864-4151, or through Robinson, Randy via phone (228) 865-1453.
Contact Information
Primary practice address
1110 Broad Ave Suite 700
Gulfport MS 39501-8907
Phone: (228) 864-4151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | Mississippi |
Profile Details
| NPI number | 1356469423 |
|---|---|
| LBN Legal business name | Medical Foundation Of South Ms |
| DBA Doing business as | Medical Foundation Of South Ms Lab |
| Authorized official | Robinson, Randy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jun 13th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356469423 | NPPES |
| Mississippi | MEDICAID | 00119065 |
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