DTC Laboratory Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25D0651894 Issued in MS

Legal business name

DTC LABORATORY SERVICES, LLC

Practice address

1512 20TH Ave
Meridian, MS 39301-4124

Phone

(601) 484-7740

NPI assigned

Oct 18, 2006

Last updated

Dec 7, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian L Wilkinson, M.D.NPI 1942300959

Title

Director

Phone

(601) 484-3257

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian L Wilkinson

  • Anatomic Pathology & Clinical Pathology Physician
  • Meridian, MS
  • NPI 1942300959
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1003997610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5869",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025869",
            "telephone_number": "601-484-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 20TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014124",
            "telephone_number": "601-484-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTC LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-484-3257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "25D0651894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream at Home High Quality Healthcare Services Inc
• Dream Chasers Allied Health and Trade School, LLC.
• Dream Chasers Trucking, LLC.
• James Joel Drummond, D.M.D., M.D.
• Pamela Drummond
• Alicia Dubose, NP
• Patricia Lynn Dudley, M.D.
• Victoria Hines Dudley, CRNA
• Frederick T Duggan, M.D.
• Renorda Christy Dukes

• Clinical Medical Laboratory in Meridian, MS
• Providers in Meridian, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.