| NPI | 1467617712 |
|---|---|
| Doing Business As | GULFPORT TESTING |
| Entity Type | Organization |
| Authorized Contact | ANDREA BALCONIS Owner 228-383-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D1086897) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |