GRACE HEALTHCARE LABORATORY, INC.
NPI 1275531261
Clinical Medical Laboratory in Gulfport, MS

Active since July 13, 2005
1120 BROAD AVE, GULFPORT, MS 39501(228) 863-3331(228) 863-3392 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Healthcare Laboratory, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE HEALTHCARE LABORATORY, INC. (NPI 1275531261) is a healthcare organization registered as a clinical medical laboratory in Gulfport, Mississippi and active in the NPI registry since July 2005. The organization lists David Wolf, President, as its authorized official.

NPPES Registry Identity

NPI1275531261
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameGRACE HEALTHCARE LABORATORY, INC.
Location Address1120 BROAD AVEGulfport, MS 39501-2414
Mailing Address1120 Broad AveGulfport, MS 39501-2414 · (228) 863-3331 · Fax (228) 863-3392
Fax(228) 863-3392
Organization SubpartNo
Authorized OfficialDavid WolfPresident · (228) 863-3331
Enumeration DateJuly 13, 2005
Last NPPES UpdateDecember 31, 2007
NPI 1275531261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1120 BROAD AVE, Gulfport, MS 39501

Other Identifiers 1

Medicaid09752571MS

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
1120 BROAD AVE
GULFPORT, MS 39501
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1120 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner (Family)
1120 BROAD AVE
GULFPORT, MS 39501
Durable Medical Equipment & Medical Supplies
1120 BROAD AVE
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Healthcare Laboratory, Inc.'s NPI number?

The NPI number for Grace Healthcare Laboratory, Inc. is 1275531261. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Grace Healthcare Laboratory, Inc. located?

Grace Healthcare Laboratory, Inc. is located at 1120 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-3331.

What is Grace Healthcare Laboratory, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Grace Healthcare Laboratory, Inc. was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.