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Fairy Wings Mobile Phlebotomy Service LLC

Health Service Clinic/Center in Gulfport, MS · enumerated 2021 · authorized official Tomieko Threadgill, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316517329

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Registry record

Entity type Organization (Type 2)
Legal business name Fairy Wings Mobile Phlebotomy Service LLC
Other name <Unavail>
Practice address 549 E Pass Rd Ste J, Gulfport, MS, 39507
Phone (228) 284-5671
Fax (228) 284-5724
Enumeration date Jun 30, 2021
Last updated in NPPES Apr 11, 2023

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary
291U00000X Clinical Medical Laboratory Laboratories Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary
347C00000X Private Vehicle Transportation Services Secondary

Authorized official

Name Tomieko Threadgill
Title Owner
Phone (228) 284-4176

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-04-11. Verify at npiregistry.cms.hhs.gov.
Where is Fairy Wings Mobile Phlebotomy Service LLC located?
The practice location on file with NPPES is in Gulfport, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-11.