Organization
MISS-LOU DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES LEWIS (OWNER)
(601) 653-0749
Entity
Organization
Contact information
Practice address
131 JEFFERSON DAVIS BLVD STE B, NATCHEZ, MS 39120-5143
(601) 653-0749
(601) 653-0751
Mailing address
131 JEFFERSON DAVIS BLVD STE B, NATCHEZ, MS 39120-5143
(601) 653-0749
(601) 653-0751
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/26/2021
Last updated
12/08/2021
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