| NPI | 1316517329 |
|---|---|
| Doing Business As | FAIRY WINGS LABORATORY AND SPECIALTY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TOMIEKO THREADGILL Owner 228-284-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-04-11 |