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FAIRY WINGS LABORATORY AND SPECIALTY SERVICES
NPI 1316517329
Clinic/Center - Health Service in Gulfport, MS

Active since June 30, 2021
549 E PASS RD STE J, GULFPORT, MS 39507(228) 284-5671(228) 284-5724 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2023, Apr 3, 2023, Jun 30, 2021 (3 updates tracked since 2021).

About Fairy Wings Laboratory And Specialty Services NPPES

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

FAIRY WINGS LABORATORY AND SPECIALTY SERVICES (NPI 1316517329) is a healthcare organization registered as a health service in Gulfport, Mississippi and active in the NPI registry since June 2021. The organization lists Tomieko Threadgill, Owner, as its authorized official.

NPPES Registry Identity

NPI1316517329
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFAIRY WINGS MOBILE PHLEBOTOMY SERVICE LLC
Location Address549 E PASS RD STE JGulfport, MS 39507-3261
Mailing Address549 E Pass Rd Ste JGulfport, MS 39507-3261 · (228) 284-4176 · Fax (228) 284-5724
Phone(228) 284-5671
Fax(228) 284-5724
Organization SubpartNo
Authorized OfficialTomieko ThreadgillOwner · (228) 284-4176
Enumeration DateJune 30, 2021
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1316517329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
549 E PASS RD STE J, Gulfport, MS 39507
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Other Names 1

Doing Business AsFairy Wings Laboratory And Specialty Services

Other Providers at the Same Location NPPES

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

MS. TOMIEKO THREADGILL PHLEBO, MA, CMLA
Technician, Pathology (Phlebotomy)
549 E PASS RD STE J
GULFPORT, MS 39507
Harrison County (228) 284-4176

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 Fairy Wings Mobile Phlebotomy Service LLC's NPI number?

The NPI number for Fairy Wings Mobile Phlebotomy Service LLC is 1316517329. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Fairy Wings Laboratory And Specialty Services.

Where is Fairy Wings Mobile Phlebotomy Service LLC located?

Fairy Wings Mobile Phlebotomy Service LLC is located at 549 E Pass Rd Ste J, Gulfport, MS 39507. The listed phone number is (228) 284-5671.

What is Fairy Wings Mobile Phlebotomy Service LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Fairy Wings Mobile Phlebotomy Service LLC was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.