Organization
LOVING CARE SUPERIOR LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANNA L BUMPERS (OWNER)
(228) 547-9349
Entity
Organization
Contact information
Practice address
13427 WINDSONG DR, GULFPORT, MS 39503-5508
(228) 547-9349
Mailing address
13427 WINDSONG DR, GULFPORT, MS 39503-5508
(228) 547-9349
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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