NPIMap

Organization Active NPI

Miss-Lou Diagnostic Services LLC

  • Health Service Clinic/Center
  • Natchez, MS
National Provider Identifier
1356008262
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MISS-LOU DIAGNOSTIC SERVICES LLC
Practice address
131 Jefferson Davis Blvd Ste B
Natchez, MS 39120-5143
Phone
(601) 653-0749
Fax
(601) 653-0751
NPI assigned
Nov 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mrs. Mercedes Lewis
Title
Owner
Phone
(601) 653-0749

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

131 Jefferson Davis Blvd Ste B
Natchez, MS 39120-5143

Mailing address

131 Jefferson Davis Blvd Ste B
Natchez, MS 39120-5143
Phone (601) 653-0749

Other practice location 1

204 Louisiana Ave
Ferriday, LA 71334-2828
Phone (601) 653-0749

National Provider Directory

National Provider Directory

Locations

204 Louisiana Ave
Ferriday, LA 71334
Phone (601) 653-0749

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": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1356008262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JEFFERSON DAVIS BLVD STE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205143",
            "telephone_number": "601-653-0749",
            "fax_number": "601-653-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JEFFERSON DAVIS BLVD STE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205143",
            "telephone_number": "601-653-0749",
            "fax_number": "601-653-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Louisiana Ave",
            "address_purpose": "LOCATION",
            "city": "Ferriday",
            "state": "LA",
            "postal_code": "713342828",
            "country_code": "US",
            "telephone_number": "601-653-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISS-LOU DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-653-0749",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.