Urologic Reference Lab LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGIC REFERENCE LAB LLC

Practice address

499 Gloster Creek VLG Ste A1
Tupelo, MS 38801-4749

Phone

(662) 432-0700

Fax

(662) 842-0566

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

UROLOGY PROFESSIONAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Jamie Michelle Allen, CPC,RHIT

Title

Revenue Cycle Manager

Phone

(662) 432-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Part of

Urology Professional Assoc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Urologic Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tupelo, MS
  • NPI 1154867562

  Member Of

  NPD member
• Urology Professional Association

  dba Urologic

  • Urology Physician
  • Tupelo, MS
  • NPI 1508886805

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Urology Professional Association

  dba Urologic

  • Urology Physician
  • Tupelo, MS
  • NPI 1508886805
  NPPES parent name

Practitioners 6

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.

• Paul Farabaugh, MD

  • Urology Physician
  • Tupelo, MS
  • NPI 1881694347
  NPD
• Clarance Stephen Farmer II, MD

  • Urology Physician
  • Tupelo, MS
  • NPI 1407856958
  NPD
• Jonathan Kalish, MD

  • Urology Physician
  • Tupelo, MS
  • NPI 1205836764
  NPD
• William Hughes Milam, MD

  • Urology Physician
  • Tupelo, MS
  • NPI 1992797161
  NPD
• Jon T Posey, MD

  • Urology Physician
  • Tupelo, MS
  • NPI 1013917103
  NPD
• Kristopher Wayne Whitehead, M.D.

  • Urology Physician
  • Tupelo, MS
  • NPI 1700057106
  NPD

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1689455305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020829",
            "telephone_number": "662-432-0700",
            "fax_number": "662-842-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-432-0700",
            "fax_number": "662-842-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC REFERENCE LAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY PROFESSIONAL ASSOCIATION",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "662-432-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC,RHIT"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unity Hospice Care, LLC
• Universal Medical Supplies & Rentals Inc (Precision Repair Network)
• Urgent Specialty Associates of Mississippi PLLC
• Urgent Specialty Associates of Mississippi PLLC
• Urologic Ambulatory Surgery Center, LLC
• Urology Professional Association (Urologic)
• Austin Urvina, MD
• US Land Cruiser Non Profit Public Trans., Inc.
• Rana Muhammad Usman, MD
• Vail Family Clinic, LLC

• Urology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.