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 Laboratories / Physiological Laboratory, 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 M. via phone (601) 426-4530.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1275545923
LBN Legal business name South Central Regional Sleep Lab
DBA Doing business as
Authorized official Wallace, John M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1275545923 NPPES
Mississippi MEDICAID 09557052

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