Phoenix Independent Living Inc
Phoenix Independent Living Inc is a Medical Laboratory Technician in Gulfport, Mississippi. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2810 53rd Ave # BGulfport, MS 39501-5644
Phone: (601) 325-8121
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X |
|---|---|
| Medical Laboratory Technician | Taxonomy 246RM2200X |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
Record details
| NPI number | 1124825666 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Holcomb — President · (601) 325-8121 |
| NPI enumerated | March 3, 2025 |
| Last updated in NPPES | March 3, 2025 |
| Certification date | March 1, 2025 |
| Mailing address | 2810 53rd Ave # B, Gulfport, MS 39501-5644 |