Organization Active NPI

Infiniti Healthcare Solutions

  • Clinical Laboratory Director (Non-physician)
  • Vicksburg, MS
National Provider Identifier
1699402453
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
INFINITI HEALTHCARE SOLUTIONS
Practice address
3530 Manor Dr Ste 6a
Vicksburg, MS 39180-5625
Phone
(601) 618-6149
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Shhenicia Sorrels, LPN
Title
Director
Phone
(601) 618-6149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

3530 Manor Dr Ste 6a
Vicksburg, MS 39180-5625

Mailing address

3530 Manor Dr Ste 6a
Vicksburg, MS 39180-5625
Phone (601) 618-6149

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2264764Infiniti Healthcare Solutions3530A Manor Dr Ste 6, Vicksburg, MS 39180Certificate of waiverJul 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1699402453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 MANOR DR STE 6A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805625",
            "telephone_number": "601-618-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 MANOR DR STE 6A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805625",
            "telephone_number": "601-618-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "SORRELS",
        "authorized_official_first_name": "SHHENICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-618-6149",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.