HISTOLOGY CYTOLOGY TECHNICAL LAB OF NORTH MISSISSIPPI
Medical Practice at Lamar Blvd, Lafayette, MS

License number
Mississippi 11854
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: DR. JOHN P FULLENWIDER M.D.
Title: SOLE PROPRIETOR
Phone: (800) 362-0858
Address
Address
2301 S Lamar Blvd, Lafayette, MS 38655
National Provider ID: 1578717674
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HISTOLOGY CYTOLOGY TECHNICAL LAB OF NORTH MISSISSIPPI at bizstanding.com

Histology/Cytology Technical Lab of North Mississippi Inc

Lafayette, MS

Industry:
Medical Laboratory
Addresses:
1420 N Lamar Blvd, Oxford, MS 38655 (Physical)
PO Box 428, Lafayette, MS 38655
State ID:
935946
Incorporator, Medical Doctor, Principal:
John Fullenwider (Incorporator, Medical Doctor, Principal), PO Box 2020, Oxford, MS 38655
Agent:
Richard L Devoe,PO Box 1237, Oxford, MS 38655 (Physical)

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