MBMC REFERENCE LABORATORY
NPI 1609485440
Clinical Medical Laboratory in Jackson, MS

NPI Status: Active since July 28, 2020

Contact Information

1225 N STATE ST
JACKSON, MS
ZIP 39202
Phone: (601) 968-3070

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 25D0317980
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About MBMC REFERENCE LABORATORY

This page provides the complete NPI Profile along with additional information for Mbmc Reference Laboratory, a provider established in Jackson, Mississippi operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1609485440 assigned on July 2020. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Mbmc Reference Laboratory. The authorized official of this NPI record is Mr. Gregory M Duckett (Sr Vp/clo)

NPI
1609485440
Provider Legal Name
MISSISSIPPI BAPTIST MEDICAL CENTER, INC.
Other Organization Name
MBMC REFERENCE LABORATORY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1225 N STATE ST JACKSON, MS 39202
Location Phone
(601) 968-3070
Mailing Address
350 N HUMPHREYS BLVD MEMPHIS, TN 38120
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-28-2020
Last Update Date
09-30-2020
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Establishments like Mbmc Reference Laboratory are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GREGORY M DUCKETT

Authorized Official Title
SR VP/CLO
Authorized Official Phone
(901) 227-5233

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D0317980
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. RAHAT M. BHATTI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mbmc Reference Laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MBMC REFERENCE LABORATORY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609485440
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609881048
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 8 + 8 + 1 + 0 + 4 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609485440 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881643369DR. MICHAEL C HEBERT MD
Individual
Internal Medicine1225 N STATE ST
JACKSON, MS 39202
(601) 292-4261
1871534206 STEPHANIE BARRETT NP
Individual
Nurse Practitioner1225 N STATE ST
JACKSON, MS 39202
(601) 982-6001
1104868827 ERIC J ZOOG M.D.
Individual
Emergency Medicine (Emergency Medical Services)1225 N STATE ST
JACKSON, MS 39202
(601) 982-6001
1346285491 BOBBIE B WEST MD
Individual
Emergency Medicine (Emergency Medical Services)1225 N STATE ST
JACKSON, MS 39202
(601) 936-6001
1063458412 JULIE WATTS REED NP
Individual
Nurse Practitioner1225 N STATE ST
JACKSON, MS 39202
(601) 968-1000
1023046711 JOHN C BROOKS M.D.
Individual
Emergency Medicine (Emergency Medical Services)1225 N STATE ST
JACKSON, MS 39202
(601) 982-6001
1407886146MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Organization
Long Term Care Hospital1225 N STATE ST
JACKSON, MS 39202
(601) 968-5130
1508881822 JOSE ALFREDO SOSA PA-C
Individual
Physician Assistant (Surgical)1225 N STATE ST DEPT. OF SURGERY
JACKSON, MS 39202
(601) 968-6137
1790703890 JAMES R. CAVETT M.D
Individual
Pathology (Cytopathology)1225 N STATE ST
JACKSON, MS 39202
(601) 968-3070
1083720726 KRISTI A HENDERSON NP
Individual
Nurse Practitioner1225 N STATE ST
JACKSON, MS 39202
(601) 936-6001
1043315906EMERGENCY MEDICINE ASSOCIATES OF JACKSON
Organization
Emergency Medicine1225 N STATE ST
JACKSON, MS 39202
(601) 936-6001
1669508263 MICHAEL C. ROBERSON CRNA
Individual
Nurse Anesthetist, Certified Registered1225 N STATE ST
JACKSON, MS 39202
(601) 968-1362
1609902337 JACKIE FORTENBERRY CRNA
Individual
Nurse Anesthetist, Certified Registered1225 N STATE ST
JACKSON, MS 39202
(601) 968-1362
1760607675 ALESIA HAYS LPC
Individual
Counselor (Professional)1225 N STATE ST MAW SUITE 210
JACKSON, MS 39202
(601) 973-1697
1881819878 MICHELE BUNCH LPC
Individual
Counselor (Professional)1225 N STATE ST MAW SUITE 210
JACKSON, MS 39202
(601) 973-1697
1720203623 JANE ROSS LCSW
Individual
Social Worker (Clinical)1225 N STATE ST MAW SUITE 210
JACKSON, MS 39202
(601) 973-1697
1659596658 OLAND STEVEN BEARDEN LCSW
Individual
Social Worker (Clinical)1225 N STATE ST MAW SUITE 210
JACKSON, MS 39202
(601) 973-1697
1295950210 RANI JAGWANI LMFT
Individual
Marriage & Family Therapist1225 N STATE ST MAW SUITE 210
JACKSON, MS 39202
(601) 973-1697
1477751790MRS. BETTY VIVIAN CLICK LCSW
Individual
Social Worker (Clinical)1225 N STATE ST
JACKSON, MS 39202
(601) 968-1310
1932391091DR. PAUL M PETTY M.D.
Individual
Emergency Medicine1225 N STATE ST
JACKSON, MS 39202
(318) 286-9787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609485440, enumerated in the NPI registry as an "organization" on July 28, 2020

The provider is located at 1225 N State St Jackson, Ms 39202 and the phone number is (601) 968-3070

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 25D0317980 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.