| On Demand Medical Testing Ii | |
|
4510 Office Park Dr Jackson MS 39206-6016 | |
| (601) 966-5601 | |
| Not Available |
| Full Name | On Demand Medical Testing Ii |
|---|---|
| Speciality | Clinic/center |
| Location | 4510 Office Park Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Ronald Hewitt (CEO) |
| Authorized Official Contact | 6019665601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Demand Medical Testing Ii 4510 Office Park Dr Jackson MS 39206-6016 Ph: () - | On Demand Medical Testing Ii 4510 Office Park Dr Jackson MS 39206-6016 Ph: (601) 966-5601 |
| NPI Number | 1295488393 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295488393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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