Provider Demographics
NPI:1861361891
Name:M&D DUO LAB SERVICES
Entity type:Organization
Organization Name:M&D DUO LAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-229-7590
Mailing Address - Street 1:320 MAIN AVE S
Mailing Address - Street 2:
Mailing Address - City:MAGEE
Mailing Address - State:MS
Mailing Address - Zip Code:39111-4138
Mailing Address - Country:US
Mailing Address - Phone:601-402-1828
Mailing Address - Fax:866-695-5736
Practice Address - Street 1:320 MAIN AVE S
Practice Address - Street 2:
Practice Address - City:MAGEE
Practice Address - State:MS
Practice Address - Zip Code:39111-4138
Practice Address - Country:US
Practice Address - Phone:601-402-1828
Practice Address - Fax:866-695-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Multi-Specialty