Hattiesburg Clinic Pa in Hattiesburg - Clinical Medical Laboratory
Hattiesburg Clinic Pa - NPI 1053493460
Hattiesburg Clinic Pa is a Clinical Medical Laboratory in Hattiesburg, Mississippi. Hattiesburg Clinic Pa practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Hattiesburg Clinic Pa is 1053493460. The last update date is 2020-10-07.
Hattiesburg Clinic Pa's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795488 and fax number 6015795240. The mailing address for Hattiesburg Clinic Pa is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Clinic Pa |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Batson N Bryan |
| Credentials | MD |
| Telephone Number | 6012685601 |
NPI Number Detail
| NPI Number | 1053493460 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2020-10-07 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795488 |
| Fax Number | 6015795240 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14811 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Hattiesburg Clinic Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Hattiesburg Clinic Pa has been assigned the NPI (National Provider Identifier) 1053493460. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Hattiesburg Clinic Pa?
The Hattiesburg Clinic Pa is physically situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the postal code 394017246.
What is Hattiesburg Clinic Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Hattiesburg Clinic Pa is Clinical Medical Laboratory, and the taxonomy code that classifies this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053493460 to Hattiesburg Clinic Pa?
The Centers for Medicare & Medicaid Services assigned the 1053493460 to Hattiesburg Clinic Pa on 2006-10-19.
As of what date were the details related to Hattiesburg Clinic Pa most recently updated or revised?
The information pertaining to Hattiesburg Clinic Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-07.
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