23 Miss. Code. R. 219-1.1 - Provider Enrollment Requirements
Independent laboratory providers must satisfy all requirements set forth in Part 200, Chapter 4, Rule 4.8 in addition to the following provider type specific requirements:
A. National Provider Identifier (NPI),
verification from National Plan and Provider Enumeration System
(NPPES),
B. Written confirmation
from the IRS confirming the tax identification number and legal name,
and
C. CLIA certificate and
completed Certification form, if applicable.
Notes
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