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MEDICAL FOUNDATION OF SOUTH MS NPI 1356469423


NPI Information

NPI: 1356469423
Provider Name: MEDICAL FOUNDATION OF SOUTH MS

Doing Business As: MEDICAL FOUNDATION OF SOUTH MS LAB

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501
Phone: (228) 864-4151
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MEDICAL FOUNDATION OF SOUTH MS is a clinical medical laboratory in Gulfport, 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. MEDICAL FOUNDATION OF SOUTH MS NPI is 1356469423. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Foundation Of South Ms Lab.

The provider's business location address is:

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501-907
Phone: (228) 864-4151

The provider's authorized official is Randy Robinson .
The authorized official title is Administrator and has the following contact phone number (228) 865-1453.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/13/2008.


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
1208000000XPediatricsNo
2291U00000XClinical Medical LaboratoryMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G46494MEDICARE UPINMISSISSIPPI
2G22699MEDICARE UPINMISSISSIPPI
3G11277MEDICARE UPINMISSISSIPPI
4690000036MEDICARE PINMISSISSIPPI
5E58324MEDICARE UPINMISSISSIPPI
6P81335MEDICARE UPINMISSISSIPPI
7G57769MEDICARE UPINMISSISSIPPI
8G82704MEDICARE UPINMISSISSIPPI
9G78591MEDICARE UPINMISSISSIPPI
10690007566MEDICARE PINMISSISSIPPI
11H34286MEDICARE UPINMISSISSIPPI
12D00919MEDICARE UPINMISSISSIPPI
13G58291MEDICARE UPINMISSISSIPPI
14G70773MEDICARE UPINMISSISSIPPI
15H73154MEDICARE UPINMISSISSIPPI
16B06702MEDICARE UPINMISSISSIPPI
17B64784MEDICARE UPINMISSISSIPPI
18E86656MEDICARE UPINMISSISSIPPI
19F88710MEDICARE UPINMISSISSIPPI
2000119065MEDICAIDMISSISSIPPI

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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