BUDE CLINIC LAB (NPI# 1235216276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235216276 |
| Entity Type | Organization |
| Organization Name | BUDE CLINIC LAB |
| Practice Address |
136 Main St N Bude MS 39630 |
| Mailing Address |
Po Box 445 Bude MS 39630 |
| Practice Telephone | 6013842394 |
| Practice Fax Number | 6013844199 |
| Mailing Telephone | 6013842394 |
| Mailing Fax Number | 6013842395 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY K LARKIN (OFFICE MANAGER) |
| Authorized Official Telephone | 6013842394 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116640 | 05 |
| Street Address |
136 MAIN ST N |
| City | BUDE |
| State | MS |
| Zip Code | 39630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633253 | Karen A Touchstone | Nurse Practitioner | 136 Main St N, Bude, MS 39630-7117 | 2006-10-16 |
| 1831592088 | Bude Family Medical | Clinic/Center | 136 Main St N, Bude, MS 39630-7117 | 2014-10-02 |
| 1457657363 | Franklin County Memorial Hospital | Clinic/Center | 136 Main St N, Bude, MS 39630-7117 | 2011-02-10 |
| 1891872834 | Bude Rural Health Clinic | Family Medicine | 136 Main St N, Bude, MS 39630 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218350 | Richard King Jr. | Pharmacist | 44 Highway 98 East, Bude, MS 39630 | 2019-04-26 |
| 1568787968 | King's Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 44 Hwy 98 East, Bude, MS 39630 | 2010-03-30 |
| 1104059146 | Family Health Care Clinic, Inc. | Clinic/Center | 262 Pine St N, Bude, MS 39630 | 2009-08-25 |
| 1366584427 | Mildred A Dillon | Nurse Practitioner | Mill Road, Bude, MS 39630 | 2007-02-13 |
| 1568457034 | Speigha Health,inc. | Pharmacy | 100 Main Street, Bude, MS 39630 | 2005-09-12 |
| 1740385129 | Speigha Health, Incorporated | Pharmacy | 100 Main St, Bude, MS 39630 | 2006-09-13 |
| 1528079035 | Kings Discount Pharmacy | Pharmacy | 44 Hwy 98 E, Bude, MS 39630-0134 | 2006-08-10 |
| 1952712630 | Mississippi State Department of Health | Public Health or Welfare | 140 W Mill Road, Bude, MS 39630-7036 | 2014-05-15 |
| 1770925604 | Alisa B Smith | Pharmacist | 100 Main St N, Bude, MS 39630-7117 | 2013-07-19 |
| 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. |
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| 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 |
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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.