Urologic Reference Lab LLC

NPI #1689455305 in Tupelo, Mississippi

Provider Information

NPI Number: 1689455305
Entity Type: Organization
Organization Name: Urologic Reference Lab LLC
Subpart: Yes (part of a larger organization)
Parent Organization: UROLOGY PROFESSIONAL ASSOCIATION
Primary Specialty: Urology
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 499 GLOSTER CREEK VLG STE A1
City: Tupelo
State: Mississippi
ZIP Code: 38801-4749
Phone: (662) 432-0700

Authorized Official

Name: MRS. JAMIE MICHELLE ALLEN, CPC,RHIT
Title: REVENUE CYCLE MANAGER
Phone: (662) 432-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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