Healthcare Provider Details

I. General information

NPI: 1346571775
Provider Name (Legal Business Name): RANKIN LABORATORIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 LAKELAND DR
FLOWOOD MS
39232-8892
US

IV. Provider business mailing address

4001 LAKELAND DR
FLOWOOD MS
39232-8892
US

V. Phone/Fax

Practice location:
  • Phone: 601-401-9077
  • Fax: 601-401-9078
Mailing address:
  • Phone: 601-401-9077
  • Fax: 601-401-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: BAIN FOOTE
Title or Position: OWNER
Credential:
Phone: 601-401-9077