MEDICARE: PRECISION LAB LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1326797978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION LAB LLP

Provider Business Mailing Address
First Line	:	PO BOX 7142
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39304-7142
Country	:	US
Telephone Number	:	601-453-3147
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 14TH ST STE A
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-4202
Country	:	US
Telephone Number	:	601-453-3147
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KIMBERLY BURTON
Credential	:
Telephone Number	:	601-480-5947

Provider Enumeration Date	:	03/21/2022
Last Update Date	:	03/21/2022

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Directions to “PRECISION LAB LLP ” Practice Location

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