# PRO MED ANALYSIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104027655
- **Authorized official:** MR. MAURICE F JORDAN (VICE PRESIDENT)
- **Authorized official phone:** (228) 326-0818

## Contact information

- **Practice address:** 711 DR MARTIN LUTHER KING JR BLVD, BILOXI, MS 39530-3851
- **Practice address phone:** (228) 432-1192
- **Mailing address:** PO BOX 515, MONROE, NC 28111-0515
- **Mailing address phone:** (704) 289-4767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 08/22/2020