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Hattiesburg Clinic PA — NPI 1053493460, Hattiesburg, MS | NPI Central

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NPI 1053493460

OrganizationActive

Hattiesburg Clinic PA

NPI 1053493460 · Clinical Medical Laboratory · Hattiesburg, MS

Provider details

NPI number: 1053493460
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Organization subpart: No
Authorized official: Bryan Batson, Executive Director(601) 268-5601

Specialties & taxonomies

Clinical Medical LaboratoryPrimary291U00000X
Laboratories

Practice location

415 S 28th Ave

Hattiesburg, MS 39401-7246

Phone: (601) 268-5735

Fax: (601) 268-5852

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

415 S 28th Ave

Hattiesburg, MS 39401-7246

Other names (DBA / former)

Doing business as: Clinical Laboratory
Doing business as: Clinical Laboratory

Registry dates

Enumerated: 2006-10-19
Last updated: 2020-10-07
Certified: 2020-10-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.