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

Phoenix Clinical Labs Inc

Organization Clinical Medical Laboratory · NPI 1003073891

Phoenix Clinical Labs Inc is a Clinical Medical Laboratory in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
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

1208 E Pass Rd
Gulfport, MS 39507-3403
Phone: (228) 313-4017
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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 · Licence 25D1084090 (MS)

Record details

NPI number1003073891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viatcheslav Sapozhnikov — President · (228) 313-4017
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008
Mailing address1208 E Pass Rd, Gulfport, MS 39507-3403

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