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1881063998 NPI number — MAIN STREET CLINICAL LABORATORY, INC

NPI Number: 1881063998
Health Care Provider/Practitioner: MAIN STREET CLINICAL LABORATORY, INC

Information about “1881063998” NPI (MAIN STREET CLINICAL LABORATORY, INC) exists in 1881063998 in HTML format HTML  |  1881063998 in plain Text format TXT  |  1881063998 in PDF (Portable Document Format) PDF  |  1881063998 in an XML format XML  formats.

NPI Number : 1881063998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881063998",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAIN STREET CLINICAL LABORATORY, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8727 NORTHWEST DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHAVEN",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38671-2429",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8727 NORTHWEST DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHAVEN",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38671-2429",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-510-5432",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/18/2015",
    "LastUpdateDate": "09/18/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VINES",
    "AuthorizedOfficialFirstName": "MARK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "662-288-8532",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "25D2001454",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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