Active NPI
On Demand Lab Test LLC
- Clinical Medical Laboratory
- Jackson, MS
National Provider Identifier
1114223500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ON DEMAND LAB TEST LLC
- Practice address
- 1551 E County Line Rd
Jackson, MS 39211-1801 - Phone
- (601) 206-9326
- Fax
- (601) 957-7344
- NPI assigned
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Weeks
- Title
- Manager
- Phone
- (601) 206-9326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1551 E County Line Rd
Jackson, MS 39211-1801
Mailing address
1551 E County Line Rd
Jackson, MS 39211-1801
Phone (601) 206-9326
Other names 1
- On Demand Medical Testing
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2106595 | Metabolic Medicine of Mississippi | Compliance | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1551 E County Line Rd
Jackson, MS 39211
Phone (601) 790-1233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1114223500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 E COUNTY LINE RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392111801",
"telephone_number": "601-206-9326",
"fax_number": "601-957-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 E COUNTY LINE RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392111801",
"telephone_number": "601-206-9326",
"fax_number": "601-957-7344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON DEMAND LAB TEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "WEEKS",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "601-206-9326"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "On Demand Medical Testing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.