Organization
PRO MED ANALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE F JORDAN (VICE PRESIDENT)
(228) 326-0818
Entity
Organization
Contact information
Practice address
711 DR MARTIN LUTHER KING JR BLVD, BILOXI, MS 39530-3851
(228) 432-1192
Mailing address
PO BOX 515, MONROE, NC 28111-0515
(704) 289-4767
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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