Medical Foundation Of South Ms in Gulfport - Clinical Medical Laboratory

Medical Foundation Of South Ms - NPI 1356469423

Medical Foundation Of South Ms is a Clinical Medical Laboratory in Gulfport, Mississippi. Medical Foundation Of South Ms practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Medical Foundation Of South Ms is 1356469423. The last update date is 2008-06-13.

Medical Foundation Of South Ms's current location address is 1612 31st Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288651453 and fax number 2288651451. The mailing address for Medical Foundation Of South Ms is 1612 31st Ave, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Foundation Of South Ms
Address 1612 31st Ave, Gulfport, Mississippi
Phone Number 2288651453
Fax Number 2288651451
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Robinson Randy
Telephone Number 2288651453

NPI Number Detail

NPI Number 1356469423
Provider Enumeration Date 2007-03-27
Last Updated Date 2008-06-13

Provider Mailing Address Detail

Address 1612 31st Ave
City Gulfport
State Mississippi (MS)
Post Code 395012750
Phone Number 2288651453
Fax Number 2288651451

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
119065 MS --

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FAQs about Medical Foundation Of South Ms

What is the unique identifier code issued to Medical Foundation Of South Ms by the Centers for Medicare & Medicaid Services (CMS)?

The Medical Foundation Of South Ms has been assigned the NPI (National Provider Identifier) 1356469423. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Medical Foundation Of South Ms is physically located?

The Medical Foundation Of South Ms is situated at the following address: 1612 31St Ave, Gulfport, MS 395012750.

What is the Medical Foundation Of South Ms's specialty and taxonomy code?

The Medical Foundation Of South Ms's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.

When did Medical Foundation Of South Ms receive its 1356469423 assignment?

The Medical Foundation Of South Ms was assigned its 1356469423 on 2007-03-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Medical Foundation Of South Ms most recently updated or revised?

The information pertaining to Medical Foundation Of South Ms, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-13.

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