Wellcare Labs, LLC
NPI #1225675531 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1225675531
- Entity Type
- Organization
- Organization Name
- Wellcare Labs, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 5, 2019
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 1270 28TH ST
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-6205
- Phone
- (228) 206-7355
Authorized Official
- Name
- MR. ANTHONY BRYAN SMITH
- Title
- AUTHORIZED PERSON
- Phone
- (228) 206-7355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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