25D0937565 CLIA NUMBER - SINGING RIVER REG DIGESTIVE SPEC-OCEAN SPRINGS

Laboratory Demographics

CLIA Number: 25D0937565

Facility Name: SINGING RIVER REG DIGESTIVE SPEC-OCEAN SPRINGS

Facility Address:
1270 OCEAN SPRINGS RD
OCEAN SPRINGS, MS
ZIP 39564
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Facility Phone Number: 228 875-3033

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033155676

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	25D0937565
LAB Type	Physician Office
Facility Name	SINGING RIVER REG DIGESTIVE SPEC-OCEAN SPRINGS
Street	1270 OCEAN SPRINGS RD
City	OCEAN SPRINGS
State	MS
ZIP	39564
Phone	228 875-3033
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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