NPI | 1356469423 |
---|---|
Doing Business As | MEDICAL FOUNDATION OF SOUTH MS LAB |
Entity Type | Organization |
Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2007-03-27 |
Last Update Date | 2008-06-13 |