MEDICAL FOUNDATION OF SOUTH MS LAB
NPI 1356469423
Clinical Medical Laboratory in Gulfport, MS

Active since March 27, 2007
1110 BROAD AVE, SUITE 700, GULFPORT, MS 39501(228) 864-4151 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Foundation Of South Ms Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL FOUNDATION OF SOUTH MS LAB (NPI 1356469423) is a healthcare organization registered as a clinical medical laboratory in Gulfport, Mississippi and active in the NPI registry since March 2007. The organization lists Randy Robinson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356469423
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDICAL FOUNDATION OF SOUTH MS
Location Address1110 BROAD AVE, SUITE 700Gulfport, MS 39501-8907
Mailing Address1612 31st AveGulfport, MS 39501-2750 · (228) 865-1453 · Fax (228) 865-1451
Organization SubpartNo
Authorized OfficialRandy RobinsonAdministrator · (228) 865-1453
Enumeration DateMarch 27, 2007
Last NPPES UpdateJune 13, 2008
NPI 1356469423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedPediatricsTaxonomy 208000000X
1110 BROAD AVE, Gulfport, MS 39501

Other Names 1

Doing Business AsMedical Foundation Of South Ms Lab

Other Identifiers 20

Medicare UPING46494MS
Medicare UPING22699MS
Medicare UPING11277MS
Medicare PIN690000036MS
Medicare UPINE58324MS
Medicare UPINP81335MS
Medicare UPING57769MS
Medicare UPING82704MS
Medicare UPING78591MS
Medicare PIN690007566MS
Medicare UPINH34286MS
Medicare UPIND00919MS
Medicare UPING58291MS
Medicare UPING70773MS
Medicare UPINH73154MS
Medicare UPINB06702MS
Medicare UPINB64784MS
Medicare UPINE86656MS
Medicare UPINF88710MS
Medicaid00119065MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1110 BROAD AVE, SUITE 700
GULFPORT, MS 39501
Internal Medicine
1110 BROAD AVE, SUITE 700
GULFPORT, MS 39501
Internal Medicine
1110 BROAD AVE, SUITE 700
GULFPORT, MS 39501
Internal Medicine
1110 BROAD AVE, SUITE 700
GULFPORT, MS 39501
Family Medicine
1110 BROAD AVE, SUITE 700
GULFPORT, MS 39501
Nurse Practitioner (Family)
1110 BROAD AVE, STE 700
GULFPORT, MS 39501
Nurse Practitioner (Family)
1110 BROAD AVE, SUITE 600
GULFPORT, MS 39501
Specialist
1110 BROAD AVE, SUITE 100
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Foundation Of South Ms's NPI number?

The NPI number for Medical Foundation Of South Ms is 1356469423. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Medical Foundation Of South Ms Lab.

Where is Medical Foundation Of South Ms located?

Medical Foundation Of South Ms is located at 1110 Broad Ave Suite 700, Gulfport, MS 39501. The listed phone number is (228) 864-4151.

What is Medical Foundation Of South Ms's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Medical Foundation Of South Ms was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.