Organization
ON THE ROAD LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL THOMPSON (MEDICAL LABORATORY TECHNICIAN)
(757) 726-7950
Entity
Organization
Contact information
Practice address
414 E PASS RD, GULFPORT, MS 39507-3236
(228) 206-4108
(228) 206-4109
Mailing address
414 E PASS RD, GULFPORT, MS 39507-3236
(228) 206-4108
(228) 206-4109
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/11/2023
Last updated
03/11/2026
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