Fairy Wings Mobile Phlebotomy Service LLC
NPI 1316517329 · Health Service Clinic/Center · Gulfport, MS
Fairy Wings Mobile Phlebotomy Service LLC is a Health Service Clinic/Center organization in Gulfport, MS (NPI 1316517329).
Provider details
- NPI number
- 1316517329
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tomieko Threadgill, Owner(228) 284-4176
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
Suppliers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairy Wings Laboratory and Specialty Services
Registry dates
- Enumerated
- 2021-06-30
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Frequently asked questions
- What is Fairy Wings Mobile Phlebotomy Service LLC's NPI number?
- Fairy Wings Mobile Phlebotomy Service LLC's National Provider Identifier (NPI) is 1316517329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairy Wings Mobile Phlebotomy Service LLC?
- Fairy Wings Mobile Phlebotomy Service LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairy Wings Mobile Phlebotomy Service LLC located?
- Fairy Wings Mobile Phlebotomy Service LLC's practice location on file with NPPES is 549 E Pass Rd Ste J, Gulfport, MS 39507-3261.
- What is Fairy Wings Mobile Phlebotomy Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairy Wings Mobile Phlebotomy Service LLC is (228) 284-5671.
- Who is the authorized official for Fairy Wings Mobile Phlebotomy Service LLC?
- The authorized official listed on Fairy Wings Mobile Phlebotomy Service LLC's NPPES record is Tomieko Threadgill, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairy Wings Mobile Phlebotomy Service LLC's NPI active?
- Yes — Fairy Wings Mobile Phlebotomy Service LLC's NPI (1316517329) is active in the NPPES registry as of the last update on 2023-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.