INTERVENE ONE DIAGNOSTICS LLC
NPI 1932058195
Clinical Medical Laboratory in Jackson, MS

Active since January 22, 2026CLIA 25D2341887 · Certificate of Compliance
4510 OFFICE PARK DR, JACKSON, MS 39206(662) 834-3432 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Apr 9, 2026, Jan 22, 2026 (3 updates tracked since 2026).

About Intervene One Diagnostics Llc NPPES

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

INTERVENE ONE DIAGNOSTICS LLC (NPI 1932058195) is a healthcare organization registered as a clinical medical laboratory in Jackson, Mississippi and active in the NPI registry since January 2026. The organization holds a CLIA Certificate of Compliance certificate valid through April 8, 2028 and lists Maurice Terrell Hampton, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1932058195
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameINTERVENE ONE DIAGNOSTICS LLC
Location Address4510 OFFICE PARK DRJackson, MS 39206-6016
Mailing Address8586 Craven RdBartlett, TN 38002-9358
Organization SubpartNo
Authorized OfficialMaurice Terrell HamptonAuthorized Official/owner · (662) 834-3432
Enumeration DateJanuary 22, 2026
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1932058195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4510 OFFICE PARK DR, Jackson, MS 39206

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 Compliance 25D2341887

Intervene One Diagnostics LLC · Jackson, MS
Active · expires Apr 8, 2028
CLIA Number25D2341887
Laboratory TypeIndependent
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorHongzheng Dai
Laboratory Phone(662) 834-3432
Laboratory LocationIntervene One Diagnostics LLC4510 Office Drive, Jackson, MS 39206
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinic/Center (Health Service)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinic/Center (Primary Care)
4510 OFFICE PARK DR
JACKSON, MS 39206
Clinic/Center
4510 OFFICE PARK DR
JACKSON, MS 39206
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206

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 Intervene One Diagnostics LLC's NPI number?

The NPI number for Intervene One Diagnostics LLC is 1932058195. It was assigned to this organization in the NPPES registry on January 22, 2026.

Where is Intervene One Diagnostics LLC located?

Intervene One Diagnostics LLC is located at 4510 Office Park Dr, Jackson, MS 39206. The listed phone number is (662) 834-3432.

What is Intervene One Diagnostics LLC's specialty?

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

Does Intervene One Diagnostics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2341887) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intervene One Diagnostics LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.