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Contact Information

GRACE HOME TESTING INC
1120 BROAD AVE
GULFPORT, MS39501-2414
 Phone: 228-863-3331
 Fax: 228-863-3392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for GRACE HOME TESTING INC

NPI Number 1275873986
LBN Legal business name GRACE HOME TESTING INC
Authorized official DAVID WOLF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2013
Last updated 02/18/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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