MAIN STREET CLINICAL LABORATORY, INC
NPI 1881063998
Clinical Medical Laboratory in Southaven, MS

Active since September 18, 2015
8727 NORTHWEST DR, SOUTHAVEN, MS 38671(662) 510-5432 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Clinical Laboratory, Inc NPPES

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

MAIN STREET CLINICAL LABORATORY, INC (NPI 1881063998) is a healthcare organization registered as a clinical medical laboratory in Southaven, Mississippi and active in the NPI registry since September 2015. The organization lists Mark Vines, President, as its authorized official.

NPPES Registry Identity

NPI1881063998
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMAIN STREET CLINICAL LABORATORY, INC
Location Address8727 NORTHWEST DRSouthaven, MS 38671-2429
Mailing Address8727 Northwest DrSouthaven, MS 38671-2429
Organization SubpartNo
Authorized OfficialMark VinesPresident · (662) 288-8532
Enumeration DateSeptember 18, 2015
NPI 1881063998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MS · 25D2001454
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.
8727 NORTHWEST DR, Southaven, MS 38671

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
8727 NORTHWEST DR
SOUTHAVEN, MS 38671

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 Main Street Clinical Laboratory, Inc's NPI number?

The NPI number for Main Street Clinical Laboratory, Inc is 1881063998. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Main Street Clinical Laboratory, Inc located?

Main Street Clinical Laboratory, Inc is located at 8727 Northwest Dr, Southaven, MS 38671. The listed phone number is (662) 510-5432.

What is Main Street Clinical Laboratory, Inc'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 Main Street Clinical Laboratory, Inc was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.