Organization Active NPI

National Testing Services LLC

  • Clinical Medical Laboratory
  • Hattiesburg, MS
National Provider Identifier
1669059085
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 24, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25D2192934MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.