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MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB LLC NPI 1306822960


NPI Information

NPI: 1306822960
Provider Name: MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC

Doing Business As: MASG VASCULAR LAB, LLC

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 25D1020250

Address:
2111 14TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-3834
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MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC is a clinical medical laboratory in Meridian, MS. The provider is (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC NPI is 1306822960. The provider is registered as an organization entity type.
The provider Is Doing Business As Masg Vascular Lab, Llc.

The provider's business location address is:

2111 14TH ST
MERIDIAN, MS
ZIP 39301-041
Phone: (601) 693-3834
Fax: (601) 484-3225

The provider's authorized official is Debra J Funck .
The authorized official title is Director and has the following contact phone number (601) 485-4443.

The CLIA number assigned to this NPI record is 25D1020250 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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