Organization
EDL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN STEPHENS (DIRECTOR)
(601) 794-2300
Entity
Organization
Contact information
Practice address
39 DAVID SWAN LN, PURVIS, MS 39475-3076
(601) 794-2300
(601) 794-2500
Mailing address
39 DAVID SWAN LN, PURVIS, MS 39475-3076
(601) 794-2300
(601) 794-2500
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1363
MS
Other
Enumeration date
04/16/2015
Last updated
01/30/2024
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