Marvel Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MARVEL LABORATORIES, LLC

Practice address

805 W Park Ave
Suite 5a
Greenwood, MS 38930-2832

Phone

(337) 842-2257

NPI assigned

Mar 7, 2017

Last updated

Mar 7, 2017By 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

Mrs. Amanda R Marcantel Hammond, MT (ASCP)

Title

Managing Member/ Owner

Phone

(337) 842-2257

Specialties & licenses 1

Addresses

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.

• Dorothey Erin Jacobs Stagner, D. C.

  • Chiropractor
  • Greenwood, MS
  • NPI 1245369917
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1275073405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W PARK AVE",
            "address_2": "SUITE 5A",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W PARK AVE",
            "address_2": "SUITE 5A",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302832",
            "telephone_number": "337-842-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MARCANTEL HAMMOND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER/ OWNER",
        "authorized_official_telephone_number": "337-842-2257",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manning Eye Care LLC
• Forrest Walker Manning, O.D.
• Emielia Willette Marble
• Lauren W Marlow, MD
• Valencia P Martin, M.D.
• Heba Omar Marzouk
• Mohamed Marzouk
• Sabrina Brown Matthews, NP-C
• Anetta C Mayze, NP
• Lucinda McAdory

• Clinical Medical Laboratory in Greenwood, MS
• Providers in Greenwood, 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 Mar 7, 2017; 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.