OrganizationActive
Intervene One Diagnostics LLC
NPI 1932058195 · Clinical Medical Laboratory · Jackson, MS
Provider details
- NPI number
- 1932058195
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Maurice Hampton, Authorized Official/Owner(662) 834-3432
Specialties & taxonomies
Laboratories
Practice location
4510 Office Park Dr
Jackson, MS 39206-6016
Phone: (662) 834-3432
Approximate (ZIP-level) locationGet directions
Mailing address
8586 Craven Rd
Bartlett, TN 38002-9358
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.