Organization Active NPI

Home Sweet Home Diagnostic

  • Clinical Medical Laboratory
  • Columbia, MS
National Provider Identifier
1407743974
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOME SWEET HOME DIAGNOSTIC
Doing business as
Home Sweet Home Diagnostic
Practice address
1711 Highway 13 N
Columbia, MS 39429-7972
Phone
(601) 522-0963
Fax
(601) 633-5188
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Tammy Mark
Title
Owner
Phone
(601) 522-0963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1711 Highway 13 N
Columbia, MS 39429-7972

Mailing address

1711 Highway 13 N
Columbia, MS 39429-7972
Phone (601) 522-0963

Other names 1

  • Home Sweet Home Diagnostic Doing business as

National Provider Directory

National Provider Directory

Locations

1711 Highway 13 N
Columbia, MS 39429
Phone (601) 522-0963

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1407743974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HIGHWAY 13 N",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394297972",
            "telephone_number": "601-522-0963",
            "fax_number": "601-633-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HIGHWAY 13 N",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394297972",
            "telephone_number": "601-522-0963",
            "fax_number": "601-633-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-522-0963"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Sweet Home Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.