IAC DIAGNOSTIC SCREENING LAB
NPI 1265270441
Homemaker in Southaven, MS

Active since July 19, 2024
928 GOODMAN RD E STE 202, SOUTHAVEN, MS 38671(662) 715-9623 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Homemaker

About IAC DIAGNOSTIC SCREENING LAB

This page provides the complete NPI Profile along with additional information for Iac Diagnostic Screening Lab, a provider established in Southaven, Mississippi operating as a Homemaker. The healthcare provider is registered in the NPI registry with number 1265270441 assigned on July 2024. The practitioner's primary taxonomy code is 376J00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Brooke Farmer (President)

NPI
1265270441 Verify this NPI
Provider Name
IAC DIAGNOSTIC SCREENING LAB
Entity Type
Organization
Location Address
928 GOODMAN RD E STE 202 SOUTHAVEN, MS 38671
Location Phone
(662) 715-9623
Mailing Address
928 GOODMAN RD E STE 202 SOUTHAVEN, MS 38671
Mailing Phone
(662) 715-9623
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2024
Last Update Date
07-19-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Homemaker

Taxonomy Code
376J00000X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. BROOKE FARMER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(662) 715-9623

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Homemaker
928 GOODMAN RD E STE 202
SOUTHAVEN, MS 38671
Home Health
928 GOODMAN RD E STE 202
SOUTHAVEN, MS 38671

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265270441, enumerated as an "organization" on July 19, 2024.

The provider is located at 928 GOODMAN RD E STE 202 SOUTHAVEN, MS 38671 and the phone number is (662) 715-9623.

Homemaker with taxonomy code 376J00000X.