Organization
MOLECULAR AND DIAGNOSTIC TESTING LABS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CAMPBELL (OWNER)
(662) 266-2217
Entity
Organization
Contact information
Practice address
1529 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6401
(901) 412-8934
Mailing address
1529 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6401
(901) 421-8934
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
01/14/2021
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