OrganizationActive
Mid State Artificial Limb Co, Inc
NPI 1184718132 · Prosthetic/Orthotic Supplier · Jackson, MS
Provider details
- NPI number
- 1184718132
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Troy Luster, President(601) 981-2229
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4455 Medgar Evers Blvd
Jackson, MS 39213-5202
Phone: (601) 981-2229
Fax: (601) 362-2129
Street-level locationGet directions
Mailing address
Po Box 31092
Jackson, MS 39286-1092
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2010-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.