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Organization
TEST EASY LABORATORY
Active
Organization
TEST EASY LABORATORY
Active
Other names
TE Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PORSHA MUNGO-BROWN (CLINICAL DIRECTOR)
(803) 286-7157
Entity
Organization
Contact information
Practice address
1499 LYNWOOD DR STE A, LANCASTER, SC 29720-0964
(803) 286-7157
Mailing address
1499 LYNWOOD DR STE A, LANCASTER, SC 29720-0964
(803) 286-7157
Taxonomy
Speciality
Code
Description
License number
State
246QH0000X
Hematology Specialist/Technologist
—
NULL
246QH0000X
Hematology Specialist/Technologist
—
—
246QL0900X
Laboratory Management Specialist/Technologist
—
NULL
246QL0900X
Laboratory Management Specialist/Technologist
—
—
246RM2200X
Medical Laboratory Technician
Primary
—
NULL
246RM2200X
Medical Laboratory Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
01/16/2024
Last updated
11/06/2024
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