Fairy Wings Mobile Phlebotomy Service Llc
Health Service
549 E Pass Rd Ste J, Gulfport
Mississippi, 39507-3261
228-284-5671 228-284-5724
Fairy Wings Mobile Phlebotomy Service Llc is a Health Service in Gulfport, Mississippi. It is located at 549 E Pass Rd Ste J, Gulfport and it's customer support contact number is 228-284-5671. The authorized person of Fairy Wings Mobile Phlebotomy Service Llc is Ms. Tomieko Threadgill, PHLEBOT, NCMA, NCMLA who is Owner of this DME and her contact number is 228-284-4176. Fairy Wings Mobile Phlebotomy Service Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fairy Wings Mobile Phlebotomy Service Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Fairy Wings Mobile Phlebotomy Service Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Fairy Wings Mobile Phlebotomy Service Llc |
| Type: | Health Service |
| Location: | 549 E Pass Rd Ste J, Gulfport,
Mississippi, 39507-3261 |
| Phone: | 228-284-5671 |
| Fax: | 228-284-5724 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Tomieko Threadgill |
| Credentials: | PHLEBOT, NCMA, NCMLA |
| Position: | Owner |
| Contact Number: | 228-284-4176 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1316517329 |
| NPI Enumeration Date: | 30 Jun, 2021 |
| NPI Last Update On: | 11 Apr, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairy Wings Mobile Phlebotomy Service Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Health Service | | | Primary | |
| Clinical Medical Laboratory | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Non-emergency Medical Transport (van) | | | Secondary | |
| Private Vehicle | | | Secondary | |
Medicare Enrollment:
Fairy Wings Mobile Phlebotomy Service Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3678961596 | O20211026003183 | Fairy Wings Mobile Phlebotomy Service Llc | PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 549 E Pass Rd Ste J,
Gulfport, Mississippi |
| Zip: | 39507-3261 |
| Phone Number: | 228-284-4176 |
| Fax Number: | 228-284-5724 |
Patients can reach Fairy Wings Mobile Phlebotomy Service Llc at
549 E Pass Rd Ste J, Gulfport, Mississippi or can
call on customer care at 228-284-5671.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.