Organization Active NPI

Down South Testing Solutions LLC

  • Point of Service
  • Mobile, AL
National Provider Identifier
1730885989
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
DOWN SOUTH TESTING SOLUTIONS LLC
Practice address
1071 Cloverdale Dr
Mobile, AL 36606-2160
Phone
(251) 623-4254
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Shantaya Derks
Title
Specimen Collector
Phone
(251) 623-4254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1071 Cloverdale Dr
Mobile, AL 36606-2160

Mailing address

1071 Cloverdale Dr
Mobile, AL 36606-2160
Phone (251) 623-4254

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1730885989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CLOVERDALE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062160",
            "telephone_number": "251-623-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 CLOVERDALE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062160",
            "telephone_number": "251-623-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN SOUTH TESTING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "DERKS",
        "authorized_official_first_name": "SHANTAYA",
        "authorized_official_title_or_position": "SPECIMEN COLLECTOR",
        "authorized_official_telephone_number": "251-623-4254"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.