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SOUTH CENTRAL REGIONAL SLEEP LAB NPI 1275545923


NPI Information

NPI: 1275545923
Provider Name: SOUTH CENTRAL REGIONAL SLEEP LAB
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
1220 JEFFERSON ST
LAUREL, MS
ZIP 39440
Phone: (601) 426-4530
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SOUTH CENTRAL REGIONAL SLEEP LAB is a physiological laboratory in Laurel, MS. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. SOUTH CENTRAL REGIONAL SLEEP LAB NPI is 1275545923. The provider is registered as an organization entity type.

The provider's business location address is:

1220 JEFFERSON ST
LAUREL, MS
ZIP 39440-355
Phone: (601) 426-4530

The provider's authorized official is John M. Wallace .
The authorized official title is Director and has the following contact phone number (601) 426-4530.

The enumeration date for this NPI number is 8/12/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109557052MEDICAIDMISSISSIPPI

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: 5/5/2024

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