Healthcare Provider Details

I. General information

NPI: 1437314515
Provider Name (Legal Business Name): NAPDOCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BAPTIST DR SUITE 40
MADISON MS
39110-2009
US

IV. Provider business mailing address

401 BAPTIST DR SUITE 401
MADISON MS
39110-2009
US

V. Phone/Fax

Practice location:
  • Phone: 601-362-3590
  • Fax: 601-362-3598
Mailing address:
  • Phone: 601-362-3590
  • Fax: 601-362-3598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PRUITT
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 601-981-9503