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SPECTRA LABORATORIES INC NPI 1396321022


NPI Information

NPI: 1396321022
Provider Name: SPECTRA LABORATORIES INC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 25D2227753

Address:
1280 STATELINE RD E
SOUTHAVEN, MS
ZIP 38671
Phone: (877) 334-0021
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SPECTRA LABORATORIES INC is a clinical medical laboratory in Southaven, 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. SPECTRA LABORATORIES INC NPI is 1396321022. The provider is registered as an organization entity type.

The provider's business location address is:

1280 STATELINE RD E
SOUTHAVEN, MS
ZIP 38671-486
Phone: (877) 334-0021
Fax: (800) 716-5539

The provider's authorized official is Chris Churchill .
The authorized official title is President and has the following contact phone number (781) 699-2306.

The CLIA number assigned to this NPI record is 25D2227753 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/23/2021 and was last updated on 7/31/2023.


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
1291U00000XClinical Medical 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108652003MEDICAIDMISSISSIPPI
21396321022MEDICAIDALABAMA
31396321022MEDICAIDMONTANA
41396321022MEDICAIDALASKA
51396321022MEDICAIDMICHIGAN
61396321022MEDICAIDMINNESOTA
7273863709MEDICAIDARKANSAS
84092925MEDICAIDUTAH
90468700MEDICAIDOHIO
101396321022MEDICAIDMAINE
111396321022MEDICAIDSOUTH DAKOTA
121396321022MEDICAIDIDAHO
13112006800MEDICAIDFLORIDA
141396321022MEDICAIDCONNECTICUT
152203364MEDICAIDWASHINGTON
162574035MEDICAIDLOUISIANA
17440392501MEDICAIDTEXAS
18649049-OCMEDICAIDAMERICAN SAMOA
196709267MEDICAIDVERMONT
207100777440MEDICAIDKENTUCKY
219000198819MEDICAIDCOLORADO
2297820288MEDICAIDNEW MEXICO
23Q069018MEDICAIDTENNESSEE
24003263868AMEDICAIDGEORGIA
25100245690CMEDICAIDKANSAS
26GBBMEDICAIDGUAM
271396321022MEDICAIDNORTH CAROLINA
281396321022MEDICAIDCALIFORNIA
2910026890900MEDICAIDNEBRASKA
30103860MEDICAIDARIZONA
311396321022MEDICAIDHAWAII
32209158500MEDICAIDWYOMING
33L00865MEDICAIDSOUTH CAROLINA
34013403892MEDICAIDDISTRICT OF COLUMBIA
351396321022MEDICAIDWISCONSIN
361396321022MEDICAIDIOWA
371396321022MEDICAIDILLINOIS
381396321022MEDICAIDWEST VIRGINIA
39700104418MEDICAIDMISSOURI

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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