NPI 1003997610

Dtc Laboratory Services, LLC

Organisation Clinical Medical Laboratory Meridian, MS

Practice location

Address: 1512 20th Ave, Meridian, MS 39301-4124
Phone: (601) 484-7740
Mailing address: PO Box 5869, Meridian, MS 39302-5869

Authorised official

Name: Brian L Wilkinson
Title: Director
Phone: (601) 484-3257

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 25D0651894 (MS)

Other Clinical Medical Laboratory providers in Mississippi →

Registry record

NPI: 1003997610
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 7 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.