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

Urologic Reference Lab LLC

Organization Urology Physician · NPI 1689455305

Urologic Reference Lab LLC is an Urology Physician in Tupelo, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

499 Gloster Creek Vlg Ste A1
Tupelo, MS 38801-4749
Phone: (662) 432-0700
Fax: (662) 842-0566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1689455305
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUrology Professional Association
Authorized official Jamie Allen — Revenue Cycle Manager · (662) 432-0700
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing addressPo Box 829, Tupelo, MS 38802-0829

Other providers in Tupelo