Southern Diagnostic Laboratories, Llc

LBN: Southern Diagnostic Laboratories, Llc
Southern Diagnostic Laboratories, Llc is an health care organization with primary practice located at 1050 River Oaks Drive Suite 120, Flowood MS 39292. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southern Diagnostic Laboratories, Llc can be contacted via phone (601) 933-8600, or through Boyd, Steve via phone (205) 313-1240.

Contact Information

Primary practice address
1050 River Oaks Drive Suite 120 Flowood MS 39292
Fax:
Website:
Authorized official contact:
Name: Boyd, Steve

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 25D2003695 Mississippi

Profile Details

NPI number 1336468784
LBN Legal business name Southern Diagnostic Laboratories, Llc
DBA Doing business as
Authorized official Boyd, Steve
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2010
Last updated Oct 9th, 2013 - about 13 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 1336468784 NPPES
Mississippi MEDICAID 07921751

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