NPIMap

Organization Active NPI

Mississippi Medical Research, LLC

  • Research Clinic/Center
  • Picayune, MS
National Provider Identifier
1326312786
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
License
13678 Issued in MS
Legal business name
MISSISSIPPI MEDICAL RESEARCH, LLC
Practice address
1016 Sixth Ave Ste B
Picayune, MS 39466-3861
Phone
(601) 749-3549
Fax
(601) 749-3448
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Ahmad Haidar, MD
Title
Owner
Phone
(601) 749-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X 13678 MS Primary

Addresses

Primary practice location

1016 Sixth Ave Ste B
Picayune, MS 39466-3861

Mailing address

1016 Sixth Ave Ste B
Picayune, MS 39466-3861
Phone (601) 749-3549

National Provider Directory

National Provider Directory

Locations

1016 Sixth Ave
Ste B
Picayune, MS 39466
Phone (601) 749-3549

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1326312786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 SIXTH AVE STE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663861",
            "telephone_number": "601-749-3549",
            "fax_number": "601-749-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SIXTH AVE STE B",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663861",
            "telephone_number": "601-749-3549",
            "fax_number": "601-749-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-749-3549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "MS",
            "license": "13678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.