South Central Regional Sleep Lab

LBN: South Central Regional Sleep Lab
South Central Regional Sleep Lab is an health care organization with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. South Central Regional Sleep Lab can be contacted via phone (601) 426-4530, or through Wallace, John via phone (601) 426-4530.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Phone: (601) 426-4530
Fax: (601) 426-4936
Website:
Map and Directions
Authorized official contact:
Name: Wallace, John Doctor of Medicine (MD)
Phone: (601) 426-4530

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 06737 Mississippi

Profile Details

NPI number 1225102684
LBN Legal business name South Central Regional Sleep Lab
DBA Doing business as
Authorized official Wallace, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 28th, 2008 - about 17 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 1225102684 NPPES
Mississippi MEDICAID 03281730

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