Organization
INCARE INC
Active
Other names
Incare Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY A SUMRALL (OWNER)
(601) 981-1861
Entity
Organization
Contact information
Practice address
1151 NORTH STATE ST, SUITE 406, JACKSON, MS 39202
(601) 353-0407
(601) 981-1869
Mailing address
PO BOX 4199, JACKSON, MS 39296
(601) 981-1861
(601) 981-1869
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111945
—
MS
Enumeration date
05/16/2007
Last updated
08/22/2020
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