MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC (NPI# 1306822960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306822960 |
| Entity Type | Organization |
| Organization Name | MERIDIAN ARTS SURGICAL GROUP VASCULAR LAB, LLC |
| Other Organization Name | MASG VASCULAR LAB, LLC |
| Practice Address |
2111 14th St Meridian MS 39301-4041 |
| Practice Telephone | 6016933834 |
| Practice Fax Number | 6014843225 |
| Mailing Telephone | 6016933834 |
| Mailing Fax Number | 6014843225 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA J FUNCK (DIRECTOR) |
| Authorized Official Telephone | 6014854443 |
| Authorized Official Credential | EFPM, CAPPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| MASG Vascular Lab, LLC | Doing Business As Name - Organization |
| Street Address |
2111 14TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295145118 | Matthew Coker | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2014-04-30 |
| 1609187749 | Linda M Farmer | Registered Nurse | 2111 14th St, Meridian, MS 39301 | 2010-06-23 |
| 1639309925 | Hans Hunt Tulip | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2009-07-21 |
| 1871637264 | Daniel D Denison | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2007-02-18 |
| 1497850424 | Lori Mcmullen | Physician Assistant | 2111 14th St, Meridian, MS 39301-4041 | 2006-09-14 |
| 1023081478 | Stephen W Tartt | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2006-02-08 |
| 1598737215 | William A Billups IIi | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1730786328 | Idaho One Health Network, LLC | Clinical Medical Laboratory | 4455 S Meridian Rd, Meridian, ID 83642-6917 | 2020-10-06 |
| 1437517042 | Premier Laboratories of Ms | Clinical Medical Laboratory | 2308 25th St, Meridian, MS 39301-2123 | 2016-02-10 |
| 1457722092 | Bear Tooth Laboratory, LLC | Clinical Medical Laboratory | 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 | 2015-10-08 |
| 1467857102 | Medical Foundation, Inc. | Clinical Medical Laboratory | 1306 20th Avenue, Meridian, MS 39301 | 2014-10-23 |
| 1942444559 | Daystar Labs Happy Heart Screening | Clinical Medical Laboratory | 2874 N Mule Deer Way, Meridian, ID 83646-7812 | 2009-04-27 |
| 1730349317 | Laboratory Corporation of America | Clinical Medical Laboratory | 1965 S Eagle Rd Ste 130, Meridian, ID 83642-9287 | 2008-06-17 |
| 1659482529 | Diagnostic Tissue/cytology Group, Pllc | Clinical Medical Laboratory | 1512 20th Ave, Meridian, MS 39301-4124 | 2006-08-31 |
| 1427036615 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2701 Davis St, Meridian, MS 39301-5708 | 2006-01-06 |
| 1891770400 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 606 22nd Ave, Meridian, MS 39301-5021 | 2005-12-07 |
| 1760730436 | Ada West Dermatopathology, LLC | Clinical Medical Laboratory | 1618 Millenium Way, Ste 220, Meridian, ID 83642-6439 | 2012-08-28 |
| Find all providers in MERIDIAN | ||||
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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.