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Spectra Laboratories Inc

Clinical Medical Laboratory in Southaven, MS · enumerated 2021 · authorized official Alex Ryder, Senior Vp and Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396321022

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Registry record

Entity type Organization (Type 2)
Legal business name Spectra Laboratories Inc
Practice address 1280 Stateline Rd E, Southaven, MS, 38671
Fax (800) 716-5539
Enumeration date Mar 23, 2021
Last updated in NPPES Jun 25, 2025

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Alex Ryder
Title Senior Vp and Medical Director

Other identifiers

Identifier Type State Issuer
003263868A Medicaid GA -
08652003 Medicaid MS -
1396321022 Medicaid CA -
1396321022 Medicaid IL -
649049-OC Medicaid AS -
97820288 Medicaid NM -
L00865 Medicaid SC -
013403892 Medicaid DC -
112006800 Medicaid FL -
7100777440 Medicaid KY -
Q069018 Medicaid TN -
100245690C Medicaid KS -
1396321022 Medicaid WI -
1396321022 Medicaid HI -
1396321022 Medicaid AL -
1396321022 Medicaid ID -
2574035 Medicaid LA -
6709267 Medicaid VT -
9000198819 Medicaid CO -
10026890900 Medicaid NE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Spectra Laboratories Inc?
Spectra Laboratories Inc is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-25.