MEDICAL FOUNDATION OF SOUTH MS

GULFPORT, MS
NPI1356469423
Doing Business AsMEDICAL FOUNDATION OF SOUTH MS LAB
Entity TypeOrganization
Authorized ContactRANDY ROBINSON
Administrator
228-865-1453
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Additional Taxonomies208000000X Pediatrics
Enumeration Date2007-03-27
Last Update Date2008-06-13
Business Address
MEDICAL FOUNDATION OF SOUTH MS
1110 BROAD AVE SUITE 700
GULFPORT, MS 39501-8907
Phone number: 228-864-4151
Mailing Address
MEDICAL FOUNDATION OF SOUTH MS
1612 31ST AVE
GULFPORT, MS 39501-2750
Phone number: 228-865-1453