Mississippi Testing Laboratories, LLC
NPI #1619355039 in Canton, Mississippi
Provider Information
- NPI Number
- 1619355039
- Entity Type
- Organization
- Organization Name
- Mississippi Testing Laboratories, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 18, 2015
- Last Updated
- May 18, 2015
Practice Location
- Address
- 152 WATFORD PARK WAY DR
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-7900
- Phone
- (601) 507-8177
Authorized Official
- Name
- DAVID L POWE
- Title
- MANAGER
- Phone
- (601) 507-8177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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