Oral Pathology Services-Umc

LBN: Oral Pathology Services-Umc
Oral Pathology Services-Umc is an health care organization with primary practice located at 2500 N State St , Jackson MS 39216-4500. The organization recently has only one registered license in Laboratories / Dental Laboratory, which is considered as the primary health care specialty. Oral Pathology Services-Umc can be contacted via phone (601) 984-6194, or through Brookerd, Stacy via phone (601) 984-6094.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-6194
Fax: (601) 815-3901
Website:
Map and Directions
Authorized official contact:
Name: Brookerd, Stacy
Phone: (601) 984-6094

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Dental Laboratory 292200000X

Profile Details

NPI number 1336320795
LBN Legal business name Oral Pathology Services-Umc
DBA Doing business as
Authorized official Brookerd, Stacy
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2007
Last updated Jan 26th, 2012 - about 12 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 1336320795 NPPES
Mississippi MEDICAID 09014021

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