VITAS LABORATORY LLC (NPI# 1336660786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336660786 |
| Entity Type | Organization |
| Organization Name | VITAS LABORATORY LLC |
| Practice Address |
2048 Pineville Road, Suite B Long Beach MS 39560 |
| Mailing Address |
Po Box 23189 Barling AR 72923-0189 |
| Practice Telephone | 4794345643 |
| Practice Fax Number | 4794345647 |
| Mailing Telephone | 4794345643 |
| Mailing Fax Number | 4794345647 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | BILLY TAYLOR (OWNER) |
| Authorized Official Telephone | 4794345643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183147 | Vitas Laboratory LLC | Clinical Medical Laboratory | 702 7th St, Brunswick, GA 31520-3249 | 2017-09-27 |
| 1649706433 | Vitas Laboratory LLC | Clinical Medical Laboratory | 1429 Hazel Ave, Carthage, MO 64836-2828 | 2017-05-11 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1356877153 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2795 Anderson Ave, Suite 102, Klamath Falls, OR 97603-7898 | 2017-05-11 |
| 1639605421 | Vitas Laboratory LLC | Clinical Medical Laboratory | 3050 N Navajo Dr, Suite 108, Prescott Valley, AZ 86314-8663 | 2017-05-11 |
| 1356875553 | Vitas Laboratory LLC | Clinical Medical Laboratory | 1191 S Columbia Rd, Grand Forks, ND 58201-4033 | 2017-04-13 |
| 1881134377 | Vitas Laboratory LLC | Clinical Medical Laboratory | 8 W 4th St, Spencer, IA 51301-4017 | 2017-03-02 |
| 1528507290 | Vitas Laboratory LLC | Clinical Medical Laboratory | 1311 Fort St, Suite J, Barling, AR 72923-2045 | 2017-02-14 |
| Street Address |
2048 PINEVILLE ROAD, SUITE B |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
| 1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
| 1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| 1508947789 | Jennifer Kathryn Cameron | Pharmacist | 209 North Cleveland Ave., Long Beach, MS 39560 | 2006-10-17 |
| Find all providers in zip 39560 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1710385901 | City of Angels Dermatology Inc | Clinical Medical Laboratory | 2888 Long Beach Blvd Ste 325, Long Beach, CA 90806-7503 | 2014-12-20 |
| 1396151643 | Julia Alcantar | Clinical Medical Laboratory | 2042 E Appleton St, Long Beach, CA 90803-5702 | 2014-07-08 |
| 1043238090 | Unilab Corporation | Clinical Medical Laboratory | 1045 S Atlantic Ave, Ste 507, Long Beach, CA 90813-3414 | 2006-07-18 |
| 1396779567 | American Sleep Diagnostics LLC | Clinical Medical Laboratory | 106 Willow Creek Dr, Long Beach, MS 39560-3311 | 2006-07-11 |
| 1336100759 | La Good Samaritan Pathology Medical Group, Inc. | Clinical Medical Laboratory | 2777 Pacific Ave, Suite H201& I202, Long Beach, CA 90806-2625 | 2006-03-28 |
| 1689294241 | Igenome, Inc. | Clinical Medical Laboratory | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1407218886 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2840 Long Beach Blvd, Suite 430, Long Beach, CA 90806-1516 | 2016-03-24 |
| 1053787432 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-08-19 |
| 1760858146 | Long Beach Memorial Pathology Medical Group | Clinical Medical Laboratory | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-08-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 39560 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.