Metric Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25D2137603 Issued in MS

Legal business name

METRIC LAB SERVICES LLC

Practice address

116 Marketridge Dr
Ridgeland, MS 39157-6009

Phone

(601) 557-0204

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sherman Kennerson

Title

Ceo/Owner

Phone

(972) 679-0388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1699287300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95546",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760999703",
            "telephone_number": "832-250-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MARKETRIDGE DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576009",
            "telephone_number": "601-557-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRIC LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "KENNERSON",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "972-679-0388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "25D2137603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Ridgeland, MS
• Providers in Ridgeland, 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 Nov 17, 2017; 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.