OrganizationActive
Grace Healthcare Laboratory, Inc.
NPI 1275531261 · Clinical Medical Laboratory · Gulfport, MS
Provider details
- NPI number
- 1275531261
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- David Wolf, President(228) 863-3331
Specialties & taxonomies
Laboratories
Practice location
1120 Broad Ave
Gulfport, MS 39501-2414
Phone: (228) 863-3331
Fax: (228) 863-3392
Approximate (ZIP-level) locationGet directions
Mailing address
1120 Broad Ave
Gulfport, MS 39501-2414
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2007-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.