Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Clinical Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1174859714

Main Street Clinical Laboratory, Inc is a Clinical Medical Laboratory in Southaven, Mississippi. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8727 NW Dr
Southaven, MS 38671-2429
Phone: (303) 371-0073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1174859714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Schryver — Vp Of Operations · (303) 371-0073
NPI enumeratedNovember 1, 2009
Last updated in NPPESSeptember 21, 2015
Mailing address12075 E 45th Ave, Suite 600, Denver, CO 80239-3123

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