Andrea Balconis in Gulfport - Clinical Medical Laboratory
Andrea Balconis - NPI 1467617712
Andrea Balconis is a Clinical Medical Laboratory in Gulfport, Mississippi. Andrea Balconis practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Andrea Balconis is 1467617712. The last update date is 2008-07-25.
Andrea Balconis's current location address is 200 Pass Rd, Gulfport, Mississippi. You can contact this provider via phone number 2283832147 and fax number 6015102611. The mailing address for Andrea Balconis is 200 Pass Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Andrea Balconis |
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Address | 200 Pass Rd, Gulfport, Mississippi |
Phone Number | 2283832147 |
Fax Number | 6015102611 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Balconis Andrea |
Telephone Number | 2283832147 |
NPI Number Detail
NPI Number | 1467617712 |
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Provider Enumeration Date | 2008-07-25 |
Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
Address | 200 Pass Rd |
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City | Gulfport |
State | Mississippi (MS) |
Post Code | 395073033 |
Phone Number | 2283832147 |
Fax Number | 6015102611 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
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Taxonomy | 291U00000X |
Licence No | 25D1086897 |
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 Andrea Balconis by the Centers for Medicare & Medicaid Services?
The Andrea Balconis has been issued the NPI (National Provider Identifier) 1467617712, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrea Balconis?
The Andrea Balconis is situated at 200 Pass Rd, in the city of Gulfport, state of MS, with the zip code 395073033.
What is Andrea Balconis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrea Balconis is Clinical Medical Laboratory, and the taxonomy classification code that categorizes this area of expertise is 291U00000X.
On what date did the Andrea Balconis receive its 1467617712 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Balconis was assigned its 1467617712 by the Centers for Medicare & Medicaid Services on 2008-07-25.
When was the information regarding Andrea Balconis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea Balconis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-25.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA