RENALAB INC (NPI# 1912914516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912914516 |
| Entity Type | Organization |
| Organization Name | RENALAB INC |
| Practice Address |
197 Interstate Drive Suite G Richland MS 39218 |
| Mailing Address |
Po Box 403096 Atlanta GA 30384-3096 |
| Practice Telephone | 6153706760 |
| Practice Fax Number | 6153706766 |
| Mailing Telephone | 6153706760 |
| Mailing Fax Number | 6153706766 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MICHAEL THOMAS BURNEY (COO) |
| Authorized Official Telephone | 6153706740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 25D0883339 | MS | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00118180 | 05 |
| Street Address |
197 INTERSTATE DRIVE SUITE G |
| City | RICHLAND |
| State | MS |
| Zip Code | 39218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1346590460 | Medical Systems Management LLC | Clinic/Center | 120 Sarborough St, Suite A, Richland, MS 39218 | 2012-09-17 |
| 1487801338 | Teresa Polk | Family Medicine | 811 Highway 49 South, Richland, MS 39218 | 2008-08-22 |
| 1629238530 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 181 Davis Johnson Dr., Suite G, Richland, MS 39218 | 2008-06-13 |
| 1710177688 | Wiley Vision Care LLC | Optometrist | 200 Market Place Dr, Richland, MS 39218 | 2007-07-27 |
| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
| 1881797439 | Don A Gibson | Family Medicine | 811 Hwy 49 South, Richland, MS 39218 | 2006-09-07 |
| 1730667403 | Kasey Ray Hinton | Physical Therapist | 1201 Highway 49 S Ste 2, Richland, MS 39218 | 2018-08-03 |
| 1033693866 | Melodie Carol Brown | Nurse Practitioner | 1201 U.S. 49, Suite 1, Richland, MS 39218-3921 | 2018-09-18 |
| 1750450581 | James Anthony Presley | Dentist | 125 W Harper St, Richland, MS 39218-4406 | 2006-11-07 |
| Find all providers in zip 39218 | ||||
| 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. |
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| 1053893917 | Tri-cities Laboratory LLC | Clinical Medical Laboratory | 1135 Jadwin Ave, Richland, WA 99352-3434 | 2018-09-06 |
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| 1548569247 | Laboratory Corporation of America | Clinical Medical Laboratory | 1445 Spaulding Park, Richland, WA 99352-4715 | 2011-03-21 |
| 1386960185 | Laboratory Corporation of America | Clinical Medical Laboratory | 915 Goethals Dr, Richland, WA 99352-3527 | 2010-04-19 |
| 1942354535 | Clinical Laboratories P S | Clinical Medical Laboratory | 750 Swift Blvd, Suite 5, Richland, WA 99352-3521 | 2007-01-22 |
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| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1457810137 | Dynamic Diagnostics LLC | Clinical Medical Laboratory | 10203 Highway 603, Bay St Louis, MS 39520-8711 | 2019-03-13 |
| 1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
| 1699287300 | Metric Lab Services LLC | Clinical Medical Laboratory | 116 Marketridge Dr, Ridgeland, MS 39157-6009 | 2017-11-03 |
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1275073405 | Marvel Laboratories, LLC | Clinical Medical Laboratory | 805 W Park Ave, Suite 5a, Greenwood, MS 38930-2832 | 2017-03-07 |
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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.