SOUTHERN DIAGNOSTIC LABORATORIES, LLC (NPI# 1336468784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336468784 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
1050 River Oaks Drive Suite 120 Flowood MS 39292 |
| Mailing Address |
2732 7th Ave S Birmingham AL 35233-3406 |
| Practice Telephone | 6019338600 |
| Mailing Telephone | 2053131240 |
| Mailing Fax Number | 2053131250 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | MR. STEVE BOYD (CEO) |
| Authorized Official Telephone | 2053131240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 25D2003695 | MS | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07921751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356657126 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2105 Florence Blvd, Florence, AL 35630-2853 | 2010-08-31 |
| 1255647046 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 463 Saint Lukes Dr, Montgomery, AL 36117-7107 | 2010-08-31 |
| 1235445024 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 100 Rice Mine Road Loop, Suite 100, Tuscaloosa, AL 35406-2425 | 2010-08-31 |
| 1780990564 | Southern Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 1450 Jones Dairy Rd, Jasper, AL 35501-6106 | 2010-08-31 |
| Street Address |
1050 RIVER OAKS DRIVE SUITE 120 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063955 | Kay Elizabeth Midler | Obstetrics & Gynecology | 1050 River Oaks Drive, Suite 200, Flowood, MS 39232 | 2006-05-22 |
| 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 |
| 1205436003 | Sessoms Therapeutic Counseling and Consulting Services, LLC | Clinic/Center | 232 Market St Ofc 230, Flowood, MS 39232-3339 | 2020-10-29 |
| 1518566314 | Capital Hearing Center LLC | Clinic/Center | 628 Lakeland East Dr Ste A, Flowood, MS 39232-9565 | 2020-10-22 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1639776032 | Sprouted Heart Acupuncture and Wellness, LLC | Acupuncturist | 200 Park Circle Dr Ste 4, Flowood, MS 39232-7800 | 2020-10-08 |
| 1922614171 | Kathleen Michele Tate | Student in an Organized Health Care Education/Training Program | 2412 Meadow Oak, Flowood, MS 39232-8780 | 2020-09-22 |
| 1487260329 | Good Shepard LLC | General Practice | 632 Lakeland East Dr, Flowood, MS 39232-9565 | 2020-09-16 |
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1497367494 | Adrianna Carpenter | Physical Medicine & Rehabilitation | 1020 River Oaks Dr Ste 112, Flowood, MS 39232-9511 | 2020-08-20 |
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| Find all providers in FLOWOOD | ||||
| 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 |
|---|---|---|---|---|
| 1457952855 | Boston Labs, LLC | Clinical Medical Laboratory | 631 Lakeland East Dr Ste 203, Flowood, MS 39232-8815 | 2020-11-03 |
| 1902356967 | Labpartners,llc | Clinical Medical Laboratory | 2050 Treetops Blvd, Flowood, MS 39232-7612 | 2016-10-13 |
| 1467072264 | River Oaks Hospital LLC | Clinical Medical Laboratory | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2020-04-21 |
| 1174821391 | Ameripath Mississippi Inc | Clinical Medical Laboratory | 1031 N Flowood Dr, Flowood, MS 39232-9533 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1528518826 | Phoenix Health, LLC | Clinical Medical Laboratory | 100 Street A Ste C, Picayune, MS 39466-5459 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
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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.