25D0894154 CLIA NUMBER - MEA PRIMARY CARE PLUS RIDGELAND

Laboratory Demographics

CLIA Number: 25D0894154

Facility Name: MEA PRIMARY CARE PLUS RIDGELAND

Facility Address:
323 HIGHWAY 51
RIDGELAND, MS
ZIP 39157
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Facility Phone Number: 601 898-9150

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1750826210

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	25D0894154
LAB Type	Physician Office
Facility Name	MEA PRIMARY CARE PLUS RIDGELAND
Street	323 HIGHWAY 51
City	RIDGELAND
State	MS
ZIP	39157
Phone	601 898-9150
CertificateType	2
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024