Organization
MS PATHOLOGY ASSOCIATES, PA
Active
Organization
MS PATHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CAVETT M.D (LAB)
(601) 968-3070
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-3070
(601) 974-6286
Mailing address
PO BOX 2153, DEPT. 1950, BIRMINGHAM, AL 35287
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014369
—
MS
01
—
P00063565
MEDICARE RAILROAD
MS
Enumeration date
05/03/2006
Last updated
07/21/2022
Update your record
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