Vicksburg Pathology Laboratory in Vicksburg - Clinical Medical Laboratory
Vicksburg Pathology Laboratory - NPI 1427195882
Vicksburg Pathology Laboratory is a Clinical Medical Laboratory in Vicksburg, Mississippi. Vicksburg Pathology Laboratory practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Vicksburg Pathology Laboratory is 1427195882. The last update date is 2020-08-22.
Vicksburg Pathology Laboratory's current location address is 1911 Mission 66, Vicksburg, Mississippi. You can contact this provider via phone number 6016299940 and fax number 6016299930. The mailing address for Vicksburg Pathology Laboratory is 1911 Mission 66, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vicksburg Pathology Laboratory |
|---|---|
| Address | 1911 Mission 66, Vicksburg, Mississippi |
| Phone Number | 6016299940 |
| Fax Number | 6016299930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Whatley H Evelyn |
| Telephone Number | 6014456789 |
NPI Number Detail
| NPI Number | 1427195882 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1911 Mission 66 |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391803762 |
| Phone Number | 6016299940 |
| Fax Number | 6016299930 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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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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What is the unique identifier code issued to Vicksburg Pathology Laboratory by the Centers for Medicare & Medicaid Services?
The Vicksburg Pathology Laboratory has been assigned the NPI (National Provider Identifier) 1427195882. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Vicksburg Pathology Laboratory is geographically located?
The Vicksburg Pathology Laboratory is physically situated at the following location: 1911 Mission 66, Vicksburg, MS, 391803762.
What is the Vicksburg Pathology Laboratory's specialty and taxonomy code?
The Vicksburg Pathology Laboratory's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date did the Vicksburg Pathology Laboratory receive its 1427195882 assignment from the Centers for Medicare & Medicaid Services?
The Vicksburg Pathology Laboratory was assigned its 1427195882 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the Vicksburg Pathology Laboratory's details last updated?
The information pertaining to the Vicksburg Pathology Laboratory, including its address, specialty, and other details, was most recently updated on 2020-08-22.