Wellcare Labs, LLC
Clinical Medical Laboratory

Address: 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908
Phone: 2282067355

Wellcare Labs, LLC (NPI# 1225675531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225675531
Entity Type Organization
Organization Name WELLCARE LABS, LLC
Practice Address 1110 Broad Ave Ste 600
Gulfport
MS 39501-8908
Practice Telephone 2282067355
Practice Fax Number 2282845304
Mailing Address 1110 Broad Ave Ste 600
Gulfport
MS 39501-8908
Mailing Telephone 2282067355
Mailing Fax Number 2282845304
Authorized Official Name Mr. Anthony Bryan Smith (AUTHORIZED PERSON)
Authorized Official Telephone 2282067355
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-05
Last Update Date 2020-03-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 291U00000X Clinical Medical Laboratory Laboratories

Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467617712 Andrea Balconis Clinical Medical Laboratory 200 Pass Rd, Suite 3, Gulfport, MS 39507-3033 2008-07-25
1003073891 Phoenix Clinical Labs Inc Clinical Medical Laboratory 1208 E Pass Rd, Gulfport, MS 39507-3403 2008-05-20
1891852042 Southern Nights, LLC Clinical Medical Laboratory 1092 Acadian Dr Ste 2, Gulfport, MS 39507-3565 2007-01-03
1831204114 Silent Night Sleep Institute, LLC Clinical Medical Laboratory 16120 Landon Road, Gulfport, MS 39503 2006-08-20
1275531261 Grace Healthcare Laboratory, Inc. Clinical Medical Laboratory 1120 Broad Ave, Gulfport, MS 39501-2414 2005-07-13

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Office Location

Street Address 1110 BROAD AVE STE 600
City GULFPORT
State MS
Zip Code 39501-8908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316010598 Neuroscience Institute of The Gulf Coast Pllc Psychiatry & Neurology 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908 2006-11-16
1417236837 Abha Mishra Pllc Clinic/Center 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908 2011-08-16
1184798993 Sydney A Smith Psychiatry & Neurology 1110 Broad Ave Ste 600, Gulfport, MS 39501-8908 2006-11-20

Providers in the same zip code

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1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
1609297522 Aung Aye Internal Medicine 1110 Broad Ave Ste 500, Gulfport, MS 39501 2013-12-19
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Competitor

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City GULFPORT
Zip Code 39501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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