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NPI Code Detail

MEDICARE: MS PATHOLOGY ASSOCIATES, PA

MEDICARE: MS PATHOLOGY ASSOCIATES, PA
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
1291U00000XClinical Medical LaboratoryMS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00063565OTHERMSMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649238882
Entity Type Code : Organization
Provider Name (Legal Business Name) : MS PATHOLOGY ASSOCIATES, PA
Provider Business Mailing Address
First Line : PO BOX 2153
Second Line : DEPT. 1950
City : BIRMINGHAM
State : AL
Zip : 35287
Country : US
Telephone Number : 601-944-1717
Fax Number : 601-944-9780
Provider Business Practice Location Address
First Line : 1225 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39202-2064
Country : US
Telephone Number : 601-968-3070
Fax Number : 601-974-6286
Authorized Official
Title or Position : LAB
Name : DR. JAMES CAVETT
Credential : M.D
Telephone Number : 601-968-3070
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/21/2022

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Directions to “MS PATHOLOGY ASSOCIATES, PA ” Practice Location

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