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

Grace Healthcare Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1275531261

Grace Healthcare Laboratory, Inc is a Clinical Medical Laboratory in Gulfport, Mississippi. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Broad Ave
Gulfport, MS 39501-2414
Phone: (228) 863-3331
Fax: (228) 863-3392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1275531261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wolf — President · (228) 863-3331
NPI enumeratedJuly 13, 2005
Last updated in NPPESDecember 31, 2007
Mailing address1120 Broad Ave, Gulfport, MS 39501-2414

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