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Organization
AP LABORATORY
Active
Organization
AP LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CARICO (CEO)
(843) 605-5087
Entity
Organization
Contact information
Practice address
283 DORCHESTER MANOR BLVD, NORTH CHARLESTON, SC 29420-8108
(912) 225-9712
(703) 991-7215
Mailing address
PO BOX 2697, STATESBORO, GA 30459-2697
(912) 225-9712
(703) 991-7215
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/05/2009
Last updated
06/01/2022
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