Healthcare Provider Details

I. General information

NPI: 1316837594
Provider Name (Legal Business Name): D&G PRECISION DRUG TESTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5749 BROWNLEE DR
JACKSON MS
39206-2716
US

IV. Provider business mailing address

5749 BROWNLEE DR
JACKSON MS
39206-2716
US

V. Phone/Fax

Practice location:
  • Phone: 601-790-0510
  • Fax:
Mailing address:
  • Phone: 601-790-0510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CHASITY C DAVIS
Title or Position: OWNER/OPERATOR
Credential:
Phone: 601-790-0510