Organization
SRS 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PICKETT (OWNER)
(769) 257-3401
Entity
Organization
Contact information
Practice address
235 W LORENZ BLVD, JACKSON, MS 39213-7059
(769) 257-3401
Mailing address
3536 HIGHWAY 6 # 114, SUGAR LAND, TX 77478-4401
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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