OrganizationActive
Edl Medical, LLC
NPI 1891182812 · Clinical Medical Laboratory · Purvis, MS
Provider details
- NPI number
- 1891182812
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jonathan Stephens, Director(601) 794-2300
- License
- 1363 (MS)
Specialties & taxonomies
Laboratories
Practice location
39 David Swan Ln
Purvis, MS 39475-3076
Phone: (601) 794-2300
Fax: (601) 794-2500
Approximate (ZIP-level) locationGet directions
Mailing address
39 David Swan Ln
Purvis, MS 39475-3076
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.