IndividualActive
Leroy Smith
NPI 1477404143 · Medical Laboratory Technician · Jackson, MS
Provider details
- NPI number
- 1477404143
- Entity type
- Individual
- Primary specialty
- Medical Laboratory TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4223 Will O Run Dr
Jackson, MS 39212-3421
Phone: (682) 377-3203
Approximate (ZIP-level) locationGet directions
Mailing address
4223 Will O Run Dr
Jackson, MS 39212-3421
Registry dates
- Enumerated
- 2026-02-06
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.