Active NPI
Smith Lab Testing LLC
- Clinical Medical Laboratory
- Tylertown, MS
National Provider Identifier
1386567980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SMITH LAB TESTING LLC
- Practice address
- 33 J C Brister Rd Lot 2
Tylertown, MS 39667-6636 - Phone
- (601) 551-7623
- Fax
- (775) 259-8481
- NPI assigned
- Jul 31, 2026
- Last updated
- Jul 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deundra Smith
- Title
- Specimen Collector
- Phone
- (601) 551-7623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
33 J C Brister Rd Lot 2
Tylertown, MS 39667-6636
Mailing address
4780 I 55 N Ste 116
Jackson, MS 39211-6067
Phone (601) 551-7623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1386567980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 I 55 N STE 116",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116067",
"telephone_number": "601-551-7623",
"fax_number": "775-259-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 J C BRISTER RD LOT 2",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396676636",
"telephone_number": "601-551-7623",
"fax_number": "775-259-8481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH LAB TESTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DEUNDRA",
"authorized_official_title_or_position": "SPECIMEN COLLECTOR",
"authorized_official_telephone_number": "601-551-7623",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tylertown, MS
- Erin Broome Riley, MSN, APRN FNP-C
- James Riley
- Jason Riley
- Katherine Elizabeth Schubert, FNP-C
- Smiles Inc P C
- Southern Digestive Health Center,LLC
- Southern Remedy Family Medicine
- Southwest Health Agency for Rural People, Inc. (SHARP, Inc)
- Southwest Pharmacy Inc (Guy's Pharmacy of Tylertown)
- Sylvia Sessions Stogner, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.