25D1100934 CLIA NUMBER - NORTH MISSISSIPPI ENDOCRINE CENTER PLLC

Laboratory Demographics

CLIA Number: 25D1100934

Facility Name: NORTH MISSISSIPPI ENDOCRINE CENTER PLLC

Facility Address:
88 CLARK BLVD
TUPELO, MS
ZIP 38804
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Facility Phone Number: 662 842-7870

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326274739

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	25D1100934
LAB Type	Physician Office
Facility Name	NORTH MISSISSIPPI ENDOCRINE CENTER PLLC
Street	88 CLARK BLVD
City	TUPELO
State	MS
ZIP	38804
Phone	662 842-7870
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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