# TEST EASY LABORATORY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TE Labs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174384358
- **Authorized official:** MRS. PORSHA MUNGO-BROWN (CLINICAL DIRECTOR)
- **Authorized official phone:** (803) 286-7157

## Contact information

- **Practice address:** 1499 LYNWOOD DR STE A, LANCASTER, SC 29720-0964
- **Practice address phone:** (803) 286-7157
- **Mailing address:** 1499 LYNWOOD DR STE A, LANCASTER, SC 29720-0964
- **Mailing address phone:** (803) 286-7157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246QH0000X | Hematology Specialist/Technologist | — | NULL | — |
| 246QH0000X | Hematology Specialist/Technologist | — | — | — |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | NULL | — |
| 246QL0900X | Laboratory Management Specialist/Technologist | — | — | — |
| 246RM2200X | Medical Laboratory Technician | — | NULL | Yes |
| 246RM2200X | Medical Laboratory Technician | — | — | Yes |
| 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