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Contact Information

OPEN AIR OF MSLOU LLC
54 SEARGENT PRENTISS DR S
SUITE 100
NATCHEZ, MS39120
 Phone: 601-442-2585
 Fax: 601-442-6299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for OPEN AIR OF MSLOU LLC

NPI # 1497754030
LBN Legal business name OPEN AIR OF MSLOU LLC
Authorized official PATRICK HOWARD - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 02/13/2015 - About 11 years ago
Identifiers
LA Medicaid 1442208
MS Medicaid 00124853
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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