NPI 1275545923

South Central Regional Sleep Lab

Organisation Physiological Laboratory Laurel, MS

Practice location

Address: 1220 Jefferson St, Laurel, MS 39440-4355
Phone: (601) 426-4530
Mailing address: PO Box 6511, Laurel, MS 39441-6511

Authorised official

Name: John M. Wallace
Title: Director
Phone: (601) 426-4530

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Mississippi →

Registry record

NPI: 1275545923
Entity type: Organization
NPI issued: 12 Aug 2006
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.