Hometown Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOMETOWN DIAGNOSTICS

Practice address

Translational Research Center Tr311
2500 North State Street
Jackson, MS 39216

Phone

(662) 415-6564

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Justin McDaniel

Title

Ceo

Phone

(662) 415-6564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1427615996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SUNSET DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423535",
            "telephone_number": "662-415-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRANSLATIONAL RESEARCH CENTER TR311",
            "address_2": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "662-415-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-415-6564"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Hearing Healthcare
• Home Instead by Honor Mississippi Inc
• Home of Heart LLC
• Homecare Hospice, LLC
• Dorothy Jean Homes
• Jennifer Ling Hong, MD
• John T Hontzas, M.D.
• Jonathan Hontzas
• Betsy Camille Hood, PA
• Brandi Fowler Hood, PHARM.D.

• Clinical Medical Laboratory in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.