Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairy Wings Mobile Phlebotomy Service LLC

Organization Health Service Clinic/Center · NPI 1316517329

Fairy Wings Mobile Phlebotomy Service LLC is a Health Service Clinic/Center in Gulfport, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

549 E Pass Rd Ste J
Gulfport, MS 39507-3261
Phone: (228) 284-5671
Fax: (228) 284-5724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1316517329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomieko Threadgill — Owner · (228) 284-4176
Other names Fairy Wings Laboratory And Specialty Services
NPI enumeratedJune 30, 2021
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address549 E Pass Rd Ste J, Gulfport, MS 39507-3261

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