Grace Healthcare Laboratory, Inc. in Gulfport - Clinical Medical Laboratory

Grace Healthcare Laboratory, Inc. - NPI 1275531261

Grace Healthcare Laboratory, Inc. is a Clinical Medical Laboratory in Gulfport, Mississippi. Grace Healthcare Laboratory, Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Grace Healthcare Laboratory, Inc. is 1275531261. The last update date is 2007-12-31.

Grace Healthcare Laboratory, Inc.'s current location address is 1120 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288633331 and fax number 2288633392. The mailing address for Grace Healthcare Laboratory, Inc. is 1120 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grace Healthcare Laboratory, Inc.
Address 1120 Broad Ave, Gulfport, Mississippi
Phone Number 2288633331
Fax Number 2288633392
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wolf David
Telephone Number 2288633331

NPI Number Detail

NPI Number 1275531261
Provider Enumeration Date 2005-07-13
Last Updated Date 2007-12-31

Provider Mailing Address Detail

Address 1120 Broad Ave
City Gulfport
State Mississippi (MS)
Post Code 395012414
Phone Number 2288633331
Fax Number 2288633392

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9752571 MS --

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FAQs about Grace Healthcare Laboratory, Inc.

What is the unique 10-digit identification code issued to Grace Healthcare Laboratory, Inc. by the Centers for Medicare & Medicaid Services?

The Grace Healthcare Laboratory, Inc. has been assigned the NPI (National Provider Identifier) 1275531261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Grace Healthcare Laboratory, Inc. is geographically located?

The Grace Healthcare Laboratory, Inc. is physically situated at the following location: 1120 Broad Ave, Gulfport, MS, 395012414.

What is Grace Healthcare Laboratory, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Grace Healthcare Laboratory, Inc. is Clinical Medical Laboratory, and the taxonomy code that categorizes this field of expertise is 291U00000X.

When did Grace Healthcare Laboratory, Inc. receive its 1275531261 assignment?

The Grace Healthcare Laboratory, Inc. was assigned its 1275531261 on 2005-07-13, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Grace Healthcare Laboratory, Inc. most recently updated or revised?

The details related to Grace Healthcare Laboratory, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-12-31.

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