Lab Testing Facility

LBN: Pmgroup
Lab Testing Facility is an health care organization with primary practice located at 300 Fairway Dr , Hattiesburg MS 39401-7715. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Laboratories / Clinical Medical Laboratory, Transportation Services / Private Vehicle. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Pmgroup can be contacted via phone (601) 329-1321, or through Parker, Jacob Cornelius via phone (601) 329-1321.

Contact Information

Primary practice address
300 Fairway Dr Hattiesburg MS 39401-7715
Phone: (601) 329-1321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Jacob Cornelius DO,MD
Phone: (601) 329-1321

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Laboratories / Clinical Medical Laboratory 291U00000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1255924346
LBN Legal business name Pmgroup
DBA Doing business as Lab Testing Facility
Authorized official Parker, Jacob Cornelius DO,MD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2021
Last updated May 6th, 2024 - about 6 months 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 1255924346 NPPES
Mississippi Other 800347 HEALTHCARE EMPLOYER PROVIDER

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