Organization
UROLOGIC REFERENCE LAB LLC
Active
Parent organization
UROLOGY PROFESSIONAL ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGY PROFESSIONAL ASSOCIATION
Authorized official
MRS. JAMIE MICHELLE ALLEN CPC,RHIT (REVENUE CYCLE MANAGER)
(662) 432-0700
Entity
Organization
Contact information
Practice address
499 GLOSTER CREEK VLG STE A1, TUPELO, MS 38801-4749
(662) 432-0700
(662) 842-0566
Mailing address
PO BOX 829, TUPELO, MS 38802-0829
(662) 432-0700
(662) 842-0566
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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