NPI 1003073891

Phoenix Clinical Labs INC

Organisation Clinical Medical Laboratory Gulfport, MS

Practice location

Address: 1208 E Pass Rd, Gulfport, MS 39507-3403
Phone: (228) 313-4017

Authorised official

Name: Viatcheslav Sapozhnikov
Title: President
Phone: (228) 313-4017

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 25D1084090 (MS)

Other Clinical Medical Laboratory providers in Mississippi →

Registry record

NPI: 1003073891
Entity type: Organization
NPI issued: 20 May 2008
Record last updated: 20 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.