Laurel Pediatric Clinic

LBN: South Central Regional Medical Center
Laurel Pediatric Clinic is an health care organization with primary practice located at 234 S 12Th Ave , Laurel MS 39440-4325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. South Central Regional Medical Center can be contacted via phone (601) 649-3520, or through Canizaro, James T via phone (601) 399-6139.

Contact Information

Primary practice address
234 S 12Th Ave Laurel MS 39440-4325
Phone: (601) 649-3520
Fax: (601) 649-7899
Website:
Map and Directions
Authorized official contact:
Name: Canizaro, James T
Phone: (601) 399-6139

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1821342379
LBN Legal business name South Central Regional Medical Center
DBA Doing business as Laurel Pediatric Clinic
Authorized official Canizaro, James T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2012
Last updated Nov 6th, 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 1821342379 NPPES
Mississippi MEDICAID 08705378

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