Medi-Lab Diagnostics Center LLC

Organization Molecular Genetic Pathology (Medical Genetics) Physician · NPI 1780303594

Medi-Lab Diagnostics Center LLC is a Molecular Genetic Pathology (Medical Genetics) Physician in Gulfport, Mississippi. Registered with an NPI since 2022.

In the registry since: 2022
Specialties on file: 3

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

1617 25th Ave
Gulfport, MS 39501-2834
Phone: (804) 896-6177

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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
Molecular Genetic Pathology (Medical Genetics) Physician	Taxonomy 207SM0001X
Health Service Clinic/Center	Taxonomy 261QH0100X

Record details

NPI number	1780303594
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Lakia Gaines — Laboratory Director · (804) 896-6177
NPI enumerated	August 24, 2022
Last updated in NPPES	September 18, 2023
Certification date	September 18, 2023
Mailing address	1617 25th Ave, Gulfport, MS 39501-2834