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MISSISSIPPI UROLOGY CLINIC, PLLC
NPI 1487432852
Non-Pharmacy Dispensing Site in Flowood, MS

Active since September 18, 2023CLIA Certified · 3 labs
1040 RIVER OAKS DR STE 202, FLOWOOD, MS 39232(601) 353-9900(601) 414-5381 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mississippi Urology Clinic, Pllc NPPES

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

MISSISSIPPI UROLOGY CLINIC, PLLC (NPI 1487432852) is a healthcare organization registered as a non-pharmacy dispensing site in Flowood, Mississippi and active in the NPI registry since September 2023. The organization holds 3 active CLIA laboratory certificates and lists Harold Jason Blalock, President, as its authorized official.

NPPES Registry Identity

NPI1487432852
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMISSISSIPPI UROLOGY CLINIC, PLLC
Location Address1040 RIVER OAKS DR STE 202Flowood, MS 39232-9534
Mailing Address501 Marshall St Ste 301Jackson, MS 39202-1687 · (601) 353-9900 · Fax (601) 353-3654
Phone(601) 353-9900
Fax(601) 414-5381
Organization SubpartNo
Authorized OfficialHarold Jason BlalockPresident · (601) 353-9900
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1487432852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1040 RIVER OAKS DR STE 202, Flowood, MS 39232
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Other Names 1

Doing Business AsMississippi Urology Clinic, Pllc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0317977

Mississippi Urology Clinic PLLC · Jackson, MS
Active · expires Jun 1, 2027
CLIA Number25D0317977
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorAllen Haraway
Laboratory Phone(601) 353-9900
Laboratory LocationMississippi Urology Clinic PLLC501 Marshall Street Suite 301, Jackson, MS 39202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 25D2285495

Mississippi Urology Clinic · Flowood, MS
Active · expires Dec 27, 2027
CLIA Number25D2285495
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorDr. Allen M. Haraway
Laboratory Phone(601) 985-3174
Laboratory LocationMississippi Urology Clinic1040 River Oaks Dr Ste 202, Flowood, MS 39232
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 25D2331913

Mississippi Urology Clinic · Flowood, MS
Active · expires Mar 8, 2028
CLIA Number25D2331913
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorAllen M. Haraway
Laboratory Phone(601) 353-9900
Laboratory LocationMississippi Urology Clinic1029 River Oaks Drive, Flowood, MS 39232
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mississippi Urology Clinic, PLLC's NPI number?

The NPI number for Mississippi Urology Clinic, PLLC is 1487432852. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Mississippi Urology Clinic, PLLC located?

Mississippi Urology Clinic, PLLC is located at 1040 River Oaks Dr Ste 202, Flowood, MS 39232. The listed phone number is (601) 353-9900.

What is Mississippi Urology Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Mississippi Urology Clinic, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mississippi Urology Clinic, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 38 other insurers list Mississippi Urology Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Urology Clinic, PLLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.