SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
NPI 1639772288
Clinical Medical Laboratory in Mccomb, MS
NPI Status: Active since November 17, 2020
Contact Information
215 MARION AVE
MCCOMB, MS
ZIP 39648
Phone: (601) 249-1497
Fax: (601) 249-1397
- Organization
- Clinical Medical Laboratory
- CLIA Number: 25D0320053
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 08-07-2026
About SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Southwest Mississippi Regional Medical Center, a provider established in Mccomb, Mississippi operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1639772288 assigned on November 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 authorized official of this NPI record is Charla Rowley (Ceo)
- NPI
- 1639772288
- Provider Name
- SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 215 MARION AVE MCCOMB, MS 39648
- Location Phone
- (601) 249-1497
- Location Fax
- (601) 249-1397
- Mailing Address
- PO BOX 1307 MCCOMB, MS 39649
- Mailing Phone
- (601) 249-1497
- Mailing Fax
- (601) 249-1397
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-17-2020
- Last Update Date
- 11-17-2020
- Code Navigator
Establishments like Southwest Mississippi Regional Medical Center 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.
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
- 25D0320053
- Facility Type
- Hospital
- Certificate Effective Date
- August 08, 2024
- Certificate Expiration Date
- August 07, 2026
- Laboratory Director
- DR. TURNER L. WILLIS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southwest Mississippi Regional Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 7 | 2 | 2 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 7 | 4 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 7 + 4 + 2 + 1 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639772288 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1821046145 | GERALD TODD ADCOCK CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1619916533 | MCCOMB ANESTHESIA ASSOCIATES, LLP Organization | Anesthesiology | 215 MARION AVE MCCOMB, MS 39648 (601) 936-0682 |
| 1215969431 | MRS. SARAH DART ANDREWS CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1356355655 | DR. JAMES BOOTHE M. D. Individual | Radiology (Body Imaging) | 215 MARION AVE MCCOMB, MS 39648 (601) 936-2194 |
| 1447261805 | MR. RICHARD THOMAS LANE CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1013024322 | ASHRAF E RIAD M.D. Individual | Anesthesiology | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1861502155 | MR. GARY LEE JACOBS CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1902989700 | MRS. CHRISTINA RAYBURN FORTENBERRY CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1578639449 | DR. BRETT FERMAN MD Individual | Emergency Medicine | 215 MARION AVE MCCOMB, MS 39648 (601) 249-2701 |
| 1861653941 | MRS. TIFFINEY L LAVERGNE CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-1183 |
| 1952563041 | MR. DEREK GAVIN DAVIS CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1437398260 | GULFPORT EMERGENCY PHYSICIANS Organization | Emergency Medicine | 215 MARION AVE MCCOMB, MS 39648 (601) 249-1180 |
| 1689813339 | MISSISSIPPI EM I MEDICAL SERVICES, P.C. Organization | Physician Assistant | 215 MARION AVE MCCOMB, MS 39648 (601) 249-1180 |
| 1578794137 | DR. STEVEN A PEARSON PHARMD, CDE Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 215 MARION AVE 1506 HARRISON AVENUE MCCOMB, MS 39648 (601) 249-5500 |
| 1073818449 | RACHEL SPIERS CRNA Individual | Nurse Anesthetist, Certified Registered | 215 MARION AVE MCCOMB, MS 39648 (601) 249-1183 |
| 1508163510 | MCCOMB EMERGENCY GROUP LLC Organization | Emergency Medicine | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1164844163 | MISSISSIPPI EMERGENCY PHYSICIAN SERVICES LLC Organization | Emergency Medicine | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1467723668 | RONALD BRANDON CLARK FNP Individual | Nurse Practitioner | 215 MARION AVE MCCOMB, MS 39648 (800) 893-9698 |
| 1013965599 | DR. GABRIEL ZEVALLOS MD Individual | Internal Medicine | 215 MARION AVE MCCOMB, MS 39648 (601) 249-5500 |
| 1215986963 | DR. MARC FREEMAN MD Individual | Anesthesiology | 215 MARION AVE MCCOMB, MS 39648 (334) 249-1450 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639772288, enumerated in the NPI registry as an "organization" on November 17, 2020
The provider is located at 215 Marion Ave Mccomb, Ms 39648 and the phone number is (601) 249-1497
This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X
The provider's CLIA number is 25D0320053 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 17, 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].
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