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Organization

IAC DIAGNOSTIC SCREENING LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BROOKE FARMER (PRESIDENT)
(662) 715-9623
Entity
Organization

Contact information

Practice address
928 GOODMAN RD E STE 202, SOUTHAVEN, MS 38671-8824
(662) 715-9623
Mailing address
928 GOODMAN RD E STE 202, SOUTHAVEN, MS 38671-8824
(662) 715-9623

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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