Provider Demographics
NPI:1235586363
Name:QUALITY MED SCREENS, LLC
Entity Type:Organization
Organization Name:QUALITY MED SCREENS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERLENCIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-622-4677
Mailing Address - Street 1:875 NORTHPARK DR
Mailing Address - Street 2:BLDG 2 SUITE 100
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-5238
Mailing Address - Country:US
Mailing Address - Phone:601-790-1900
Mailing Address - Fax:601-853-4847
Practice Address - Street 1:875 NORTHPARK DR
Practice Address - Street 2:BLDG 2 SUITE 100
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-5238
Practice Address - Country:US
Practice Address - Phone:601-790-1900
Practice Address - Fax:601-853-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR876299163WG0000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty