NPI 1033704036
Southern Mobile Medical LLC
Practice location
- Address
- 304 Hillbrook Dr, Starkville, MS 39759-6780
- Phone
- (757) 639-5013
Authorised official
- Name
- Brian Gleason
- Title
- Co-Owner
- Phone
- (757) 761-2583
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1033704036
- Entity type
- Organization
- NPI issued
- 2 Mar 2021
- Record last updated
- 2 Mar 2021
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.