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Contact Information

ORAL PATHOLOGY SERVICES-UMC
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-6194
 Fax: 601-815-3901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

NPI Profile & details for ORAL PATHOLOGY SERVICES-UMC

NPI Number 1336320795
LBN Legal business name ORAL PATHOLOGY SERVICES-UMC
Authorized official STACY BROOKERD - (MANAGER, BUSINESS OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/14/2007
Last updated 01/26/2012 - About 14 years ago
Identifiers
MS Medicaid 09014021
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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