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General NPI Number Information
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NPI Number | 1669059085
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Entity Type | Organization
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Legal Business Name | NATIONAL TESTING SERVICES LLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 1520 ADELINE ST STE B
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City | HATTIESBURG
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State | MS
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Zip | 39401-6265
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Country | US
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Telephone | 601-564-8632
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Fax | 601-336-7185
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Provider Business Mailing Address
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Address Line | 1520 ADELINE ST STE B
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City | HATTIESBURG
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State | MS
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Zip | 39401-6265
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Country | US
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Telephone | 601-564-8632
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Fax | 601-336-7185
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | MISS DANAYEAL C BASS
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Credential | LAB DIRECTOR/LRT/CMA
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Telephone | 601-383-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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