Organization
MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC
Active
Organization
MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC
Active
Other names
MASG Vascular Lab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J FUNCK EFPM, CAPPM (DIRECTOR)
(601) 485-4443
Entity
Organization
Contact information
Practice address
2111 14TH ST, MERIDIAN, MS 39301-4041
(601) 693-3834
(601) 484-3225
Mailing address
2111 14TH ST, MERIDIAN, MS 39301-4041
(601) 693-3834
(601) 484-3225
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/15/2005
Last updated
08/22/2020
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