OrganizationActive
Andrea Balconis
NPI 1467617712 · Clinical Medical Laboratory · Gulfport, MS
Provider details
- NPI number
- 1467617712
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Andrea Balconis, Owner(228) 383-2147
- License
- 25D1086897 (MS)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
200 Pass Rd
Suite 3
Gulfport, MS 39507-3033
Phone: (228) 383-2147
Fax: (601) 510-2611
Street-level locationGet directions
Mailing address
200 Pass Rd
Gulfport, MS 39507-3033
Other names (DBA / former)
- Doing business as
- Gulfport Testing
Registry dates
- Enumerated
- 2008-07-25
- Last updated
- 2008-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.