Organization · NPI-2

Medicheck Labs, LLC

Prosthetic/Orthotic Supplier · Hattiesburg, MS

NPI number1679257703

StatusActive

Last updated in NPPESDec 8, 2025

Details

NPI: 1679257703
Entity type: Organization (NPI-2)
Legal business name: Medicheck Labs, LLC
Organization subpart: No
Enumeration date: Jun 9, 2023
Certification date: Dec 8, 2025
Last updated: Dec 8, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
335E00000X	Prosthetic/Orthotic Supplier	–	–	Yes
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
291U00000X	Clinical Medical Laboratory	–	–

Practice location

104 Park Ave
Hattiesburg, MS 39401-4955

Phone 601-699-2541

Mailing address

104 Park Ave
Hattiesburg, MS 39401-4955

Phone 601-699-2541

Authorized official

Kimberly Tazamear Smith
Owner
6016992541

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