BROOKSVILLE CLINICAL LABORATORY, INC. (NPI# 1023150786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023150786 |
| Entity Type | Organization |
| Organization Name | BROOKSVILLE CLINICAL LABORATORY, INC. |
| Practice Address |
139 N Oliver Street Brooksville MS 39739 |
| Mailing Address |
Po Box 348 Brooksville MS 39739-0348 |
| Practice Telephone | 6627384424 |
| Practice Fax Number | 6627384615 |
| Mailing Telephone | 6627384424 |
| Mailing Fax Number | 6627384615 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERNEST R STUART (ADMINISTRATOR) |
| Authorized Official Telephone | 6627384424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | MS | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120679 | 05 |
| Street Address |
139 N OLIVER STREET |
| City | BROOKSVILLE |
| State | MS |
| Zip Code | 39739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1083139455 | Williams Care Company | In Home Supportive Care | 3695 Drake Hill Rd, Brooksville, MS 39739 | 2017-08-07 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1609949692 | Kim Willams Truesdale | Nurse Practitioner | 139 North Oliver St, Brooksville, MS 39739 | 2006-11-16 |
| 1710964754 | Charles Larry Mccullouch Jr. | Family Medicine | 1560 North Oliver St., Brooksville, MS 39739 | 2005-12-30 |
| 1104843671 | Freds Stores of Tennessee Inc | Pharmacy | 25 Main Street, Brookesville, MS 39739 | 2006-07-17 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| Find all providers in zip 39739 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104252287 | Access Laboratories LLC | Clinical Medical Laboratory | 11373 Cortez Blvd Ste 302, Brooksville, FL 34613-5411 | 2013-09-19 |
| 1265806319 | Edwin K House, Md | Clinical Medical Laboratory | 22163 Croom Rd, Brooksville, FL 34601-4852 | 2015-11-30 |
| 1376809426 | Hga Lab LLC | Clinical Medical Laboratory | 12190 Cortez Blvd, Brooksville, FL 34613-5578 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952855 | Boston Labs, LLC | Clinical Medical Laboratory | 631 Lakeland East Dr Ste 203, Flowood, MS 39232-8815 | 2020-11-03 |
| 1023622305 | Molecular and Diagnostic Testing Labs of America | Clinical Medical Laboratory | 1529 Cliff Gookin Blvd, Tupelo, MS 38801-6401 | 2020-09-03 |
| 1134742505 | Temeka Denson | Clinical Medical Laboratory | 104 Meadow Hill Dr, Forest, MS 39074-3817 | 2020-05-20 |
| 1225675531 | Wellcare Labs, LLC | Clinical Medical Laboratory | 1270 28th St, Gulfport, MS 39501-6205 | 2019-12-05 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1457810137 | Dynamic Diagnostics LLC | Clinical Medical Laboratory | 10203 Highway 603, Bay St Louis, MS 39520-8711 | 2019-03-13 |
| 1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
| 1699287300 | Metric Lab Services LLC | Clinical Medical Laboratory | 116 Marketridge Dr, Ridgeland, MS 39157-6009 | 2017-11-03 |
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1275073405 | Marvel Laboratories, LLC | Clinical Medical Laboratory | 805 W Park Ave, Suite 5a, Greenwood, MS 38930-2832 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 39739 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.