NPI Details
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 Alex Ryder .
The authorized official title is Senior Vp And Medical Director and has the following contact phone number (877) 334-0021.
The CLIA number assigned to this NPI record is 25D2227753 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Blood test, clotting time (HCPCS:85610)
- Lactate dehydrogenase (enzyme) level (HCPCS:83615)
- Uric acid level, blood (HCPCS:84550)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Vancomycin (antibiotic) level (HCPCS:80202)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
- Glutamyltransferase (liver enzyme) level (HCPCS:82977)
- Body fluid cell count with cell identification (HCPCS:89051)
- Special gram or giemsa stain for microorganism (HCPCS:87205)
- Cholesterol level (HCPCS:82465)
- Triglycerides level (HCPCS:84478)
- Body fluid cell count (HCPCS:89050)
- Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
- Glucose (sugar) level on body fluid (HCPCS:82945)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Hepatitis c antibody measurement (HCPCS:86803)
- Stool analysis for blood, by peroxidase activity (HCPCS:82272)
- Bacterial colony count, urine (HCPCS:87086)
- Analysis for antibody to hiv-1 and hiv-2 virus (HCPCS:86703)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
- Total protein level, urine (HCPCS:84156)
- Ldl cholesterol level (HCPCS:83721)
- Hdl cholesterol level (HCPCS:83718)
- Fungal culture (mold or yeast) (HCPCS:87102)
- Thyroid hormone, t3 measurement, total (HCPCS:84480)
- Tacrolimus level (HCPCS:80197)
- Detection test by nucleic acid for hepatitis c virus, quantification (HCPCS:87522)
- Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
- Screening test for pathogenic organisms (HCPCS:87081)
- Thyroxine (thyroid chemical), total (HCPCS:84436)
- Glycated protein level (HCPCS:82985)
- Coagulation assessment blood test, plasma or whole blood (HCPCS:85730)
- Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
- Digoxin level, total (HCPCS:80162)
- Amylase (enzyme) level (HCPCS:82150)
- Gentamicin (antibiotic) level (HCPCS:80170)
- Beta-2 microglobulin (protein) level (HCPCS:82232)
- Automated urinalysis test (HCPCS:81003)
- Lipase (fat enzyme) level (HCPCS:83690)
- Protein measurement, serum (HCPCS:84165)
- Identification of organisms by immunologic analysis, other than immunofluorescence method (HCPCS:87147)
- Measurement of hepatitis a antibody (igm) (HCPCS:86709)
- Detection test by immunoassay technique for hepatitis be surface antigen (HCPCS:87350)
- Fungal culture, yeast (HCPCS:87106)
- Levetiracetam level (HCPCS:80177)
- Hepatitis be antibody measurement (HCPCS:86707)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
- Cortisol (hormone) measurement, total (HCPCS:82533)
- Bacterial culture, any other source except urine, blood or stool, aerobic (HCPCS:87070)
- Phenytoin level, total (HCPCS:80185)
- Testosterone (hormone) level, total (HCPCS:84403)
- Homocysteine (amino acid) level (HCPCS:83090)
- Gammaglobulin (immune system protein) measurement (HCPCS:82784)
- Detection test by nucleic acid for hepatitis b virus, quantification (HCPCS:87517)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
- Tobramycin (antibiotic) level (HCPCS:80200)
- Haptoglobin (serum protein) level (HCPCS:83010)
- Zinc level (HCPCS:84630)
- Screening test for antineutrophil cytoplasmic antibody (HCPCS:86036)
- Measurement of complement (immune system proteins), antigen, (HCPCS:86160)
- Antibody identification test, platelet antibodies (HCPCS:86022)
- Cerebrospinal fluid, or amniotic fluid albumin (protein) level (HCPCS:82042)
- Thyroid hormone evaluation (HCPCS:84479)
- Concentration of specimen for infectious agents (HCPCS:87015)
- Culture for acid-fast bacilli (HCPCS:87116)
- Special fluorescent and/or acid fast stain for microorganism (HCPCS:87206)
- Gabapentin level (HCPCS:80171)
- Urine sodium level (HCPCS:84300)
- Immunologic analysis technique on serum (immunofixation) (HCPCS:86334)
- Gonadotropin, follicle stimulating (reproductive hormone) level (HCPCS:83001)
- Screening test for autoimmune disorder (HCPCS:86038)
- Detection of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87185)
- Analysis test by nucleic acid for hepatitis c virus (HCPCS:87902)
The enumeration date for this NPI number is 3/23/2021 and was last updated on 6/25/2025.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
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 |
| 1 | 003263868A | MEDICAID | GEORGIA | |
| 2 | 08652003 | MEDICAID | MISSISSIPPI | |
| 3 | 1396321022 | MEDICAID | CALIFORNIA | |
| 4 | 1396321022 | MEDICAID | ILLINOIS | |
| 5 | 649049-OC | MEDICAID | AMERICAN SAMOA | |
| 6 | 97820288 | MEDICAID | NEW MEXICO | |
| 7 | L00865 | MEDICAID | SOUTH CAROLINA | |
| 8 | 013403892 | MEDICAID | DISTRICT OF COLUMBIA | |
| 9 | 112006800 | MEDICAID | FLORIDA | |
| 10 | 7100777440 | MEDICAID | KENTUCKY | |
| 11 | Q069018 | MEDICAID | TENNESSEE | |
| 12 | 100245690C | MEDICAID | KANSAS | |
| 13 | 1396321022 | MEDICAID | ALABAMA | |
| 14 | 1396321022 | MEDICAID | WISCONSIN | |
| 15 | 1396321022 | MEDICAID | HAWAII | |
| 16 | 1396321022 | MEDICAID | IDAHO | |
| 17 | 2574035 | MEDICAID | LOUISIANA | |
| 18 | 6709267 | MEDICAID | VERMONT | |
| 19 | 9000198819 | MEDICAID | COLORADO | |
| 20 | 10026890900 | MEDICAID | NEBRASKA | |
| 21 | 1396321022 | MEDICAID | NORTH CAROLINA | |
| 22 | 1396321022 | MEDICAID | MINNESOTA | |
| 23 | 273863709 | MEDICAID | ARKANSAS | |
| 24 | 1396321022 | MEDICAID | MAINE | |
| 25 | GBB | MEDICAID | GUAM | |
| 26 | 1396321022 | MEDICAID | ALASKA | |
| 27 | 1396321022 | MEDICAID | CONNECTICUT | |
| 28 | 1396321022 | MEDICAID | MICHIGAN | |
| 29 | 1396321022 | MEDICAID | WEST VIRGINIA | |
| 30 | 2203364 | MEDICAID | WASHINGTON | |
| 31 | 440392501 | MEDICAID | TEXAS | |
| 32 | 1396321022 | MEDICAID | SOUTH DAKOTA | |
| 33 | 1396321022 | MEDICAID | IOWA | |
| 34 | 209158500 | MEDICAID | WYOMING | |
| 35 | 0468700 | MEDICAID | OHIO | |
| 36 | 103860 | MEDICAID | ARIZONA | |
| 37 | 1396321022 | MEDICAID | MONTANA | |
| 38 | 4092925 | MEDICAID | UTAH | |
| 39 | 700104418 | MEDICAID | MISSOURI | |