Healthcare Provider Details

I. General information

NPI: 1629528989
Provider Name (Legal Business Name): HEME DIAGNOSTIC SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N CAUSEWAY BLVD STE 300
MANDEVILLE LA
70448-4664
US

IV. Provider business mailing address

117 HOLLENDEN LN
MADISON MS
39110-9789
US

V. Phone/Fax

Practice location:
  • Phone: 813-860-4969
  • Fax: 888-371-7962
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number15953
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number15953
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number15953
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberMD.207455
License Number StateLA
# 5
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD.207455
License Number StateLA

VIII. Authorized Official

Name: ANTHONY L. SCHMIDT
Title or Position: CEO
Credential:
Phone: 601-918-0669