Organization Active NPI

Analyte Lab LLC

  • Clinical Medical Laboratory
  • Gulfport, MS
National Provider Identifier
1396335980
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANALYTE LAB LLC
Practice address
1270 28TH St Ste II
Gulfport, MS 39501-6205
Phone
(228) 206-7355
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Edward Smith
Title
Cfo
Phone
(228) 206-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1270 28TH St Ste II
Gulfport, MS 39501-6205

Mailing address

1270 28TH St Ste II
Gulfport, MS 39501-6205

National Provider Directory

National Provider Directory

Locations

1270 28th St
Ste Ii
Gulfport, MS 39501
Phone (228) 206-7355

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1396335980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 28TH ST STE II",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395016205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 28TH ST STE II",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395016205",
            "telephone_number": "228-206-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANALYTE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "228-206-7355"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.