MACON CLINICAL LABORATORY, INC. (NPI# 1255473906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255473906 |
| Entity Type | Organization |
| Organization Name | MACON CLINICAL LABORATORY, INC. |
| Practice Address |
602 Njefferson Street Macon MS 39341 |
| Mailing Address |
Po Box 306 Macon MS 39341-0306 |
| Practice Telephone | 6627265831 |
| Practice Fax Number | 6627264638 |
| Mailing Telephone | 6627265831 |
| Mailing Fax Number | 6627264638 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERNEST ROY STUART (ADMINISTRATOR) |
| Authorized Official Telephone | 6627265831 |
| 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 | 00120680 | 05 |
| Street Address |
602 NJEFFERSON STREET |
| City | MACON |
| State | MS |
| Zip Code | 39341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
| 1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
| 1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
| 1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
| 1679507024 | Naim U. Rahman | Internal Medicine | 606 North Jefferson Street, Macon, MS 39341 | 2006-07-10 |
| Find all providers in zip 39341 | ||||
| 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 |
|---|---|---|---|---|
| 1922583731 | Lab One LLC | Clinical Medical Laboratory | 404 Providence Rd, Macon, MO 63552-4222 | 2018-09-27 |
| 1427279538 | Antonio Padilla | Clinical Medical Laboratory | 2195 Ingleside Ave, Macon, GA 31204-2029 | 2007-05-02 |
| 1104944123 | Atlanta Clinical Laboratories Inc | Clinical Medical Laboratory | 1122 Gray Hwy Ste 3, Macon, GA 31211-3206 | 2007-03-27 |
| 1154650091 | Synthesis Pathology, LLC | Clinical Medical Laboratory | 610 3rd St, Suite 206, Macon, GA 31201-3294 | 2009-12-23 |
| 1114051828 | Atlantic Sleep Lab, Inc. | Clinical Medical Laboratory | 560 1st St, Macon, GA 31201-2824 | 2007-03-15 |
| 1467502716 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 350 Hospital Dr, Macon, GA 31217-3838 | 2007-01-11 |
| 1528125648 | Infinity Laboratory | Clinical Medical Laboratory | 841 Mulberry St, Macon, GA 31201-6756 | 2007-01-02 |
| 1528127586 | Atlantic Sleep Lab, Inc. | Clinical Medical Laboratory | 560 First Street, Macon, GA 31201 | 2006-12-06 |
| 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 |
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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.