Advocate Health Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVOCATE HEALTH LAB, LLC

Doing business as

Advocate Credentialing Solutions

Practice address

227 N 6TH Avenue
Decatur, MS 39327-3932

Phone

(769) 218-8891

Fax

(855) 918-4758

NPI assigned

Nov 16, 2020

Last updated

Jun 25, 2021By 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

Niva Alexander, RN

Title

Owner

Phone

(205) 393-2327

Specialties & licenses 1

Addresses

Other names 1

• Advocate Credentialing Solutions Doing business as

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.

• Niva Jamice King Alexander, RN

  • Registered Nurse
  • Ridgeland, MS
  • NPI 1750993481
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1093317885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393270974",
            "telephone_number": "205-393-2327",
            "fax_number": "855-918-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N 6TH AVENUE",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393273932",
            "telephone_number": "769-218-8891",
            "fax_number": "855-918-4758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 S Pear Orchard Rd Ste 106-553",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391574861",
            "country_code": "US",
            "telephone_number": "769-218-8891",
            "fax_number": "855-918-4758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVOCATE HEALTH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "NIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-393-2327",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Credentialing Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ameripro EMS of Mississippi, LLC
• Krista Anthony
• Brandi R Barnes, FNP
• Deborah D. Boggan, M.S. CCC-SP
• James Cary Bradshaw, DO

• Clinical Medical Laboratory in Decatur, MS
• Providers in Decatur, 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 Jun 25, 2021; 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.