Grace Healthcare Laboratory, Inc.
NPI #1275531261 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1275531261
- Entity Type
- Organization
- Organization Name
- Grace Healthcare Laboratory, Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 13, 2005
- Last Updated
- Dec 31, 2007
Practice Location
- Address
- 1120 BROAD AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-2414
- Phone
- (228) 863-3331
Authorized Official
- Name
- MR. DAVID WOLF
- Title
- PRESIDENT
- Phone
- (228) 863-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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