Organization · NPI-2
National Testing Services LLC
Clinical Medical Laboratory · Hattiesburg, MS
NPI number1669059085
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1669059085
- Entity type
- Organization (NPI-2)
- Legal business name
- National Testing Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1520 Adeline St Ste BHattiesburg, MS 39401-6265
Phone 601-564-8632 · Fax 601-336-7185
Mailing address
1520 Adeline St Ste BHattiesburg, MS 39401-6265
Phone 601-564-8632 · Fax 601-336-7185
Authorized official
Danayeal C Bass
Lab Director
6013834546
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