SRS 2 LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SRS 2 LLC

Practice address

235 W Lorenz Blvd
Jackson, MS 39213-7059

Phone

(769) 257-3401

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Charles Pickett

Title

Owner

Phone

(769) 257-3401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1134873649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HIGHWAY 6 # 114",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W LORENZ BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137059",
            "telephone_number": "769-257-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-257-3401"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanesse Spratt, MD
• Bailey Sprowles, FNP
• Carson Spruiell
• Katelyn Spruiell
• Harsha Sai Sreemantula, MD
• St Anthony LLC
• St Dominic Ambulatory Surgery Center L L C
• St Dominic Hospital Crna'S
• St Dominic Medical Associates
• St Dominic Medical Associates

• Clinical Medical Laboratory in Jackson, MS
• Providers in Jackson, 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 4, 2022; 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.