Provider Demographics
NPI:1073943445
Name:MEDICAL ANALYSIS LLC
Entity Type:Organization
Organization Name:MEDICAL ANALYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-267-3550
Mailing Address - Street 1:1025 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-2906
Mailing Address - Country:US
Mailing Address - Phone:228-388-2599
Mailing Address - Fax:228-388-4157
Practice Address - Street 1:1025 DIVISION ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-2906
Practice Address - Country:US
Practice Address - Phone:228-388-2599
Practice Address - Fax:228-388-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care