Active NPI
National Testing Services LLC
- Clinical Medical Laboratory
- Hattiesburg, MS
National Provider Identifier
1669059085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NATIONAL TESTING SERVICES LLC
- Practice address
- 1520 Adeline St Ste B
Hattiesburg, MS 39401-6265 - Phone
- (601) 564-8632
- Fax
- (601) 336-7185
- NPI assigned
- Mar 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Danayeal C Bass, LAB DIRECTOR/LRT/CMA
- Title
- Lab Director
- Phone
- (601) 383-4546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1520 Adeline St Ste B
Hattiesburg, MS 39401-6265
Mailing address
1520 Adeline St Ste B
Hattiesburg, MS 39401-6265
Phone (601) 564-8632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25D2192934 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1520 Adeline St
Ste B
Hattiesburg, MS 39401
Phone (601) 325-0549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1669059085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 ADELINE ST STE B",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394016265",
"telephone_number": "601-564-8632",
"fax_number": "601-336-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ADELINE ST STE B",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394016265",
"telephone_number": "601-564-8632",
"fax_number": "601-336-7185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL TESTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "DANAYEAL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "601-383-4546",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LAB DIRECTOR/LRT/CMA"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25D2192934",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.