Provider Demographics
NPI:1427850874
Name:SWIFT DIAGNOSTICS
Entity type:Organization
Organization Name:SWIFT DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAB DIRECTOR
Authorized Official - Phone:769-333-4342
Mailing Address - Street 1:PO BOX 12632
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39236-2632
Mailing Address - Country:US
Mailing Address - Phone:769-333-4342
Mailing Address - Fax:601-898-6188
Practice Address - Street 1:5306 SEDGWICK DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-4325
Practice Address - Country:US
Practice Address - Phone:769-333-4342
Practice Address - Fax:601-898-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility