Organization Active NPI

Compass Laboratory Services of Mississippi LLC

  • Clinical Medical Laboratory
  • Southaven, MS
National Provider Identifier
1255060042
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMPASS LABORATORY SERVICES OF MISSISSIPPI LLC
Practice address
7900 Airways Blvd Ste 6
Southaven, MS 38671-4113
Phone
(901) 348-5774
Fax
(901) 348-5738
NPI assigned
Jun 7, 2022
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Jannie L Chapman
Title
Owner
Phone
(901) 348-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7900 Airways Blvd Ste 6
Southaven, MS 38671-4113

Mailing address

7900 Airways Blvd Ste 6
Southaven, MS 38671-4113
Phone (901) 948-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221203000572 MS Part B Supplier - Independent Clinical Laboratory 8224407879 Practice locations: Southaven, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2243773Compass Laboratory Services of Mississippi LLC7900 Airways Blvd BLDG C Ste 6, Southaven, MS 38671ComplianceMar 29, 2027
25D2310989TRM Infusion Services PLLC7900 Airways Blvd Suite 6, Southaven, MS 38671Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7900 Airways Blvd
Bldg C6
Southaven, MS 38671
Phone (662) 349-1940

7900 Airways Blvd
Ste 6
Southaven, MS 38671
Phone (662) 470-7554

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1255060042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD STE 6",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714113",
            "telephone_number": "901-948-5774",
            "fax_number": "901-948-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD STE 6",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714113",
            "telephone_number": "901-348-5774",
            "fax_number": "901-348-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS LABORATORY SERVICES OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JANNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-348-5774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.