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Contact Information

MISSISSIPPI MEDICAL RESEARCH, LLC
1016 SIXTH AVE STE B
PICAYUNE, MS39466-3861
 Phone: 601-749-3549
 Fax: 601-749-3448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for MISSISSIPPI MEDICAL RESEARCH, LLC

NPI Number 1326312786
LBN Legal business name MISSISSIPPI MEDICAL RESEARCH, LLC
Authorized official AHMAD HAIDAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Identifiers
MS License # 13678
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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