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Organization
CMT LABORATORIES LLC
Active
Organization
CMT LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VONNETTA STOCKDALE BSN, RN (OWNER/ADMINISTRATOR)
(843) 532-2492
Entity
Organization
Contact information
Practice address
1501 BELLE ISLE AVE STE 110, MOUNT PLEASANT, SC 29464-8379
(843) 532-2492
Mailing address
5003 BALLANTINE DR, SUMMERVILLE, SC 29485-8898
(843) 532-2492
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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