NPI 1255479630

Mississippi State Department of Health

Organisation Clinical Medical Laboratory Jackson, MS

Practice location

Address: 570 E Woodrow Wilson Ave, Jackson, MS 39216-4538
Phone: (601) 576-7582
Mailing address: PO Box 1700, Jackson, MS 39215-1700

Authorised official

Name: Mitchell Adcock
Title: Chief Operations Officer
Phone: (601) 576-7635

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Mississippi →

Registry record

NPI: 1255479630
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 22 Aug 2020

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.