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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