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

Main Street Clinical Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1881063998

Main Street Clinical Laboratory, Inc is a Clinical Medical Laboratory in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
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: (662) 510-5432
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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 · Licence 25D2001454 (MS)

Record details

NPI number1881063998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Vines — President · (662) 288-8532
NPI enumeratedSeptember 18, 2015
Last updated in NPPESSeptember 18, 2015
Mailing address8727 Northwest Dr, Southaven, MS 38671-2429

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