Phoenix Clinical Labs INC

NPI #1003073891 in Gulfport, Mississippi

Provider Information

NPI Number
1003073891
Entity Type
Organization
Organization Name
Phoenix Clinical Labs INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 20, 2008
Last Updated
May 20, 2008

Practice Location

Address
1208 E PASS RD
ZIP Code
39507-3403
Phone
(228) 313-4017

Authorized Official

Name
VIATCHESLAV SAPOZHNIKOV
Title
PRESIDENT
Phone
(228) 313-4017

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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