Slocum-Radson Medical Laboratories Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19875 Issued in MS

Legal business name

SLOCUM-RADSON MEDICAL LABORATORIES INC.

Practice address

3700 Hardy St Ste A2
Hattiesburg, MS 39402-1553

Phone

(601) 544-7012

Fax

(601) 544-7013

NPI assigned

Jun 25, 2012

Last updated

Feb 9, 2023By 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

Dr. Ikechukwu H Okorie, M.D.

Title

Medical Director

Phone

(601) 544-7012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1063776052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST STE A2",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021553",
            "telephone_number": "601-544-7012",
            "fax_number": "601-544-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOCUM-RADSON MEDICAL LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-544-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "19875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Hattiesburg, MS
• Providers in Hattiesburg, 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 Feb 9, 2023; 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.