| 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 |