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Organization

MEDICHECK LABS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY TAZAMEAR SMITH RMA (OWNER)
(601) 699-2541
Entity
Organization

Contact information

Practice address
104 PARK AVE, HATTIESBURG, MS 39401-4955
(601) 699-2541
Mailing address
104 PARK AVE, HATTIESBURG, MS 39401-4955
(601) 699-2541

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
291U00000X
Clinical Medical Laboratory
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/09/2023
Last updated
12/08/2025
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