Organization
GRACE MEDICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MYLES RN (LAB DIRECTOR)
(662) 318-3002
Entity
Organization
Contact information
Practice address
117 N HAYDEN ST, BELZONI, MS 39038-3931
(662) 318-3002
Mailing address
2533 MARTIN LAKE RD, ISOLA, MS 38754-4457
(662) 836-8296
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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