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General NPI Number Information
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NPI Number | 1821980996
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Entity Type | Organization
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Legal Business Name | SLT ALLSCREENS MOBILE TESTING LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 665 S PEAR ORCHARD RD STE 106
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City | RIDGELAND
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State | MS
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Zip | 39157-4859
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Country | US
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Telephone | 601-667-0579
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Fax | 601-860-9834
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Provider Business Mailing Address
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Address Line | 665 S PEAR ORCHARD RD STE 106
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City | RIDGELAND
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State | MS
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Zip | 39157-4859
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Country | US
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Telephone | 601-667-0579
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHAWNER TYSON
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Credential |
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Telephone | 601-441-8326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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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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