OrganizationActive
Iac Diagnostic Screening Lab
NPI 1265270441 · Homemaker · Southaven, MS
Provider details
- NPI number
- 1265270441
- Entity type
- Organization
- Primary specialty
- HomemakerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Brooke Farmer, President(662) 715-9623
Specialties & taxonomies
Nursing Service Related Providers
Practice location
928 Goodman Rd E Ste 202
Southaven, MS 38671-8824
Phone: (662) 715-9623
Approximate (ZIP-level) locationGet directions
Mailing address
928 Goodman Rd E Ste 202
Southaven, MS 38671-8824
Registry dates
- Enumerated
- 2024-07-19
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.