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INTERVENTIONAL DIABETES CENTER, LLC
NPI 1649747825
Clinic/Center in Lexington, MS

Active since October 25, 2018CLIA 25D2223604 · Waiver
20735 HIGHWAY 12, LEXINGTON, MS 39095(601) 594-7346 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Sep 8, 2020, Oct 25, 2018 (3 updates tracked since 2018).

About Interventional Diabetes Center, Llc NPPES

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

INTERVENTIONAL DIABETES CENTER, LLC (NPI 1649747825) is a healthcare organization registered as a clinic/center in Lexington, Mississippi and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Maurice Hampton, Owner, as its authorized official.

NPPES Registry Identity

NPI1649747825
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINTERVENTIONAL DIABETES CENTER, LLC
Location Address20735 HIGHWAY 12Lexington, MS 39095-8266
Mailing Address20735 Highway 12Lexington, MS 39095-8266 · (901) 791-1711
Phone(601) 594-7346
Organization SubpartNo
Authorized OfficialMaurice HamptonOwner · (901) 791-1711
Enumeration DateOctober 25, 2018
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1649747825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
20735 HIGHWAY 12, Lexington, MS 39095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 25D2223604

Interventional Diabetes Center · Lexington, MS
Active · expires May 6, 2027
CLIA Number25D2223604
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorDr. Abdul Bahro
Laboratory Phone(662) 594-7346
Laboratory LocationInterventional Diabetes Center20735 Hwy 12, Lexington, MS 39095
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INTERVENE DIABETIC CENTER LLC
Specialist
20735 HIGHWAY 12
LEXINGTON, MS 39095
Holmes County (662) 834-3432

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 Interventional Diabetes Center, LLC's NPI number?

The NPI number for Interventional Diabetes Center, LLC is 1649747825. It was assigned to this organization in the NPPES registry on October 25, 2018.

Where is Interventional Diabetes Center, LLC located?

Interventional Diabetes Center, LLC is located at 20735 Highway 12, Lexington, MS 39095. The listed phone number is (601) 594-7346.

What is Interventional Diabetes Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Interventional Diabetes Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2223604) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Interventional Diabetes Center, LLC accept?

Health plans from Molina Healthcare list Interventional Diabetes Center, LLC 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 Interventional Diabetes Center, LLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.