Organization
ON DEMAND MEDICAL TESTING II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HEWITT (CEO)
(601) 966-5601
Entity
Organization
Contact information
Practice address
4510 OFFICE PARK DR, JACKSON, MS 39206-6016
(601) 966-5601
Mailing address
4510 OFFICE PARK DR, JACKSON, MS 39206-6016
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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