NPI 1275873986

Grace Home Testing INC

Organisation Physiological 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

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Mississippi →

Registry record

NPI: 1275873986
Entity type: Organization
NPI issued: 18 Feb 2013
Record last updated: 18 Feb 2013

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.