NPI Details
MEDI-LAB DIAGNOSTICS CENTER LLC is a clinical medical laboratory in Gulfport, MS. The provider is (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. MEDI-LAB DIAGNOSTICS CENTER LLC NPI is 1780303594. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1617 25TH AVE
GULFPORT, MS
ZIP 39501-834
Phone: (804) 896-6177
The provider's authorized official is Lakia Janel Gaines .
The authorized official title is Laboratory Director and has the following contact phone number (804) 896-6177.
The CLIA number assigned to this NPI record is 49D2293518 - public health laboratories with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/24/2022 and was last updated on 9/18/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207SM0001X | Medical Genetics | Molecular Genetic Pathology | | | No |
| 2 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 3 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
