Healthcare Provider Details

I. General information

NPI: 1609701374
Provider Name (Legal Business Name): QUALITY DRUG TESTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9084 MILLBRANCH RD
SOUTHAVEN MS
38671-1420
US

IV. Provider business mailing address

9084 MILLBRANCH RD
SOUTHAVEN MS
38671-1420
US

V. Phone/Fax

Practice location:
  • Phone: 662-470-5896
  • Fax: 662-470-6017
Mailing address:
  • Phone: 662-470-5896
  • Fax: 662-470-6017

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: SHARUNDA JONES
Title or Position: OWNER
Credential: JONES
Phone: 662-470-5896