MEDICAL FOUNDATION OF SOUTH MS LAB – NPI #1356469423
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.

MEDICAL FOUNDATION OF SOUTH MS LAB is a clinical medical laboratory located in GULFPORT, MS. NPPES has assigned the NPI number 1356469423 to MEDICAL FOUNDATION OF SOUTH MS LAB on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL FOUNDATION OF SOUTH MS LAB” is a dba name, the actual legal business name for this organization is MEDICAL FOUNDATION OF SOUTH MS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL FOUNDATION OF SOUTH MS LAB below.

NPI Profile for
MEDICAL FOUNDATION OF SOUTH MS

NPI Number
1356469423
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL FOUNDATION OF SOUTH MS
Doing Business As (dba): MEDICAL FOUNDATION OF SOUTH MS LAB
Primary location
1110 BROAD AVE
SUITE 700
GULFPORT, MS 39501-8907
Phone: (228) 864-4151 Fax:
Mailing address
1612 31ST AVE
GULFPORT, MS 39501-2750
Phone: (228) 865-1453 Fax: (228) 865-1451
Organization Subpart
No
Authorized Official
RANDY ROBINSON
ADMINISTRATOR
Phone: (228) 865-1453
Updated
Identifiers

Identifiers for MEDICAL FOUNDATION OF SOUTH MS LAB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00119065
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
MS
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.