Organization Active NPI

CPC Reference Labs

  • Clinical Medical Laboratory
  • New Albany, MS
National Provider Identifier
1659431690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CPC REFERENCE LABS
Practice address
111 W Bankhead St
New Albany, MS 38652-3314
Phone
(662) 538-5794
Fax
(662) 538-5796
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph R Campbell
Title
President Ceo
Phone
(662) 538-5794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MS Primary

Addresses

Primary practice location

111 W Bankhead St
New Albany, MS 38652-3314

Mailing address

PO Box 2368
New Albany, MS 38652-2475
Phone (662) 538-5794

Other identifiers 1

IdentifierTypeStateIssuer
00123560MedicaidMS

National Provider Directory

National Provider Directory

Locations

109 W Bankhead St
New Albany, MS 38652
Phone (662) 538-9997

111 W Bankhead St
New Albany, MS 38652
Phone (662) 538-5794

915 Sam T Barkley Dr
New Albany, MS 38652
Phone (662) 538-5794

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659431690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2368",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522475",
            "telephone_number": "662-538-5794",
            "fax_number": "662-538-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523314",
            "telephone_number": "662-538-5794",
            "fax_number": "662-538-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC REFERENCE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "662-538-5794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123560",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • 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.