Phoenix Clinical Labs Inc in Gulfport - Clinical Medical Laboratory
Phoenix Clinical Labs Inc - NPI 1003073891
Phoenix Clinical Labs Inc is a Clinical Medical Laboratory in Gulfport, Mississippi. Phoenix Clinical Labs Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Phoenix Clinical Labs Inc is 1003073891. The last update date is 2008-05-20.
Phoenix Clinical Labs Inc's current location address is 1208 E Pass Rd, Gulfport, Mississippi. You can contact this provider via phone number 2283134017. The mailing address for Phoenix Clinical Labs Inc is 1208 E Pass Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Clinical Labs Inc |
|---|---|
| Address | 1208 E Pass Rd, Gulfport, Mississippi |
| Phone Number | 2283134017 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sapozhnikov Viatcheslav |
| Telephone Number | 2283134017 |
NPI Number Detail
| NPI Number | 1003073891 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 1208 E Pass Rd |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395073403 |
| Phone Number | 2283134017 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 25D1084090 |
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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 |
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What is the unique 10-digit identification code assigned to Phoenix Clinical Labs Inc by the Centers for Medicare & Medicaid Services?
The Phoenix Clinical Labs Inc has been issued the NPI (National Provider Identifier) 1003073891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phoenix Clinical Labs Inc is physically located?
The Phoenix Clinical Labs Inc is physically situated at the following address: 1208 E Pass Rd, Gulfport, MS, 395073403.
What is the Phoenix Clinical Labs Inc's specialty and taxonomy code?
The Phoenix Clinical Labs Inc's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
When did the Phoenix Clinical Labs Inc receive its 1003073891?
The Phoenix Clinical Labs Inc was issued its 1003073891 on 2008-05-20, which is the date when the organization was assigned this unique identifier.
When was the Phoenix Clinical Labs Inc's information last updated?
The Phoenix Clinical Labs Inc's information was last updated on 2008-05-20.
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