OrganizationActive
Hometown Diagnostics
NPI 1427615996 · Clinical Medical Laboratory · Jackson, MS
Provider details
- NPI number
- 1427615996
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Justin Mcdaniel, Ceo(662) 415-6564
Specialties & taxonomies
Laboratories
Practice location
Translational Research Center Tr311
2500 North State Street
Jackson, MS 39216
Phone: (662) 415-6564
Approximate (ZIP-level) locationGet directions
Mailing address
104 W Sunset Dr
Brandon, MS 39042-3535
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2019-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.