Organization Active NPI

Desoto Dna and Diagnostic Center

  • Phlebotomy Technician
  • Southaven, MS
National Provider Identifier
1336070267
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
DESOTO DNA AND DIAGNOSTIC CENTER
Practice address
1668 Main St
Southaven, MS 38671-1237
Phone
(662) 856-9854
Fax
(901) 860-4413
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Mrs. Takashi Y LabonNPI 1336617612
Title
Owner/Phlebotomist
Phone
(901) 864-9086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1668 Main St
Southaven, MS 38671-1237

Mailing address

1668 Main St
Southaven, MS 38671-1237
Phone (662) 856-9854

National Provider Directory

National Provider Directory

Locations

1668 Main St
Southaven, MS 38671
Phone (662) 856-9854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1336070267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 MAIN ST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711237",
            "telephone_number": "662-856-9854",
            "fax_number": "901-860-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 MAIN ST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711237",
            "telephone_number": "662-856-9854",
            "fax_number": "901-860-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO DNA AND DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "LABON",
        "authorized_official_first_name": "TAKASHI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
        "authorized_official_telephone_number": "901-864-9086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "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 May 28, 2026; 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.