Healthcare Provider Details

I. General information

NPI: 1487595930
Provider Name (Legal Business Name): BEYOND MOBILE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 LELIA DR
JACKSON MS
39216-4828
US

IV. Provider business mailing address

1755 LELIA DR
JACKSON MS
39216-4828
US

V. Phone/Fax

Practice location:
  • Phone: 601-994-3453
  • Fax:
Mailing address:
  • Phone: 601-994-3453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CHINIKKI CLARK
Title or Position: OWNER
Credential:
Phone: 601-994-3453