Organization
CERTUS LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BLACKWELL (MANAGING MEMBER)
(601) 842-0274
Entity
Organization
Contact information
Practice address
3827 BIENVILLE BLVD, SUITE 10, OCEAN SPRINGS, MS 39564-5868
(228) 818-0366
(228) 818-0367
Mailing address
3827 BIENVILLE BLVD, SUITE 10, OCEAN SPRINGS, MS 39564-5868
(228) 818-0366
(228) 818-0367
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
01/12/2015
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