NPI 1275531261

Grace Healthcare Laboratory, INC.

Organisation Clinical Medical Laboratory Gulfport, MS

Practice location

Address: 1120 Broad Ave, Gulfport, MS 39501-2414
Phone: (228) 863-3331
Fax: (228) 863-3392

Authorised official

Name: David Wolf
Title: President
Phone: (228) 863-3331

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Mississippi →

Registry record

NPI: 1275531261
Entity type: Organization
NPI issued: 13 Jul 2005
Record last updated: 31 Dec 2007

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.