Pro Med Analysis, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PRO MED ANALYSIS, LLC

Practice address

711 Dr Martin Luther King Jr Blvd
Biloxi, MS 39530-3851

Phone

(228) 432-1192

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Maurice F Jordan

Title

Vice President

Phone

(228) 326-0818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104027655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281110515",
            "telephone_number": "704-289-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DR MARTIN LUTHER KING JR BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395303851",
            "telephone_number": "228-432-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "228-326-0818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Health Maintenance Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.