Incare Inc

Primary specialty

Pulmonary Function TechnologistTaxonomy code 225B00000X

Legal business name

INCARE INC

Practice address

1151 North State St
Suite 406
Jackson, MS 39202

Phone

(601) 353-0407

Fax

(601) 981-1869

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly A Sumrall

Title

Owner

Phone

(601) 981-1861

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Incare Lab Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457568149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4199",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39296",
            "telephone_number": "601-981-1861",
            "fax_number": "601-981-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NORTH STATE ST",
            "address_2": "SUITE 406",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-353-0407",
            "fax_number": "601-981-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMRALL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-981-1861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111945",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incare Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pulmonary Function Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.