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
- City
- Gulfport
- State
- Mississippi
- 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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