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Organization
LRC TESTING CENTER
Active
Organization
LRC TESTING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE MCFADDEN CADC (CLINICAL DIRECTOR)
(803) 404-7789
Entity
Organization
Contact information
Practice address
11709 FRUEHAUF DR STE 113, CHARLOTTE, NC 28273-7285
(803) 713-5283
Mailing address
11709 FRUEHAUF DR STE 113, CHARLOTTE, NC 28273-7285
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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