Complete Diagnostic Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COMPLETE DIAGNOSTIC LABORATORIES, LLC

Practice address

7065 Airways Blvd Ste 109
Southaven, MS 38671-5862

Phone

(662) 350-0923

NPI assigned

Oct 23, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William T Budd, PHDNPI 1497497226

Title

Partner/ Chief Scientific Officer

Phone

(662) 350-0923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Microphase Clinical Laboratory

  • Clinical Medical Laboratory
  • Huntsville, AL
  • NPI 1619039047

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Budd, PHD

  • Clinical Laboratory Director (Non-physician)
  • Olive Branch, MS
  • NPI 1497497226
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1659143899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUMMIT PKWY STE 114",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094742",
            "telephone_number": "662-350-0923",
            "fax_number": "662-350-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD STE 109",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715862",
            "telephone_number": "662-350-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DIAGNOSTIC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER/ CHIEF SCIENTIFIC OFFICER",
        "authorized_official_telephone_number": "662-350-0923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylle Colquhoun, DPT
• George Paul Comeaux, LCSW
• Compass Laboratory Services of Mississippi LLC
• Compassionate Nurses Healthcare
• Complete Diabetes Pharmacy Care Inc (Complete Diabetes Pharmacy)
• Wyatt Compton
• Jerri J Conlee, R.PH.
• Katelyn Lee Conner, PMHNP-BC
• Laura B Connerley, PT, DPT
• Kerin Trinette Connor, NP

• Clinical Medical Laboratory in Southaven, MS
• Providers in Southaven, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.