NPI 1740431394

Napdocs

Organisation Physiological Laboratory Jackson, MS

Practice location

Address: 971 Lakeland Dr Suite 752, Jackson, MS 39216-4643
Phone: (601) 981-9503
Fax: (601) 982-0148

Authorised official

Name: Michael Studdard
Title: Physician
Phone: (601) 981-9503

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Mississippi →

Registry record

NPI: 1740431394
Entity type: Organization
NPI issued: 1 Oct 2008
Record last updated: 2 Oct 2008

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.